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General NPI Number Information
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NPI Number | 1194800185
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Entity Type | Individual
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Provider Name | CARLETTA DEON REHBINE MSW
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 921 NE 13TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5007
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Country | US
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Telephone | 405-270-0501
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Fax | 405-290-1665
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Provider Business Mailing Address
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Address Line | 6717 S FRISCO RD
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City | MUSTANG
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State | OK
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Zip | 73064-1311
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Country | US
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Telephone | 405-270-0501
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Fax | 405-290-1665
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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