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General NPI Number Information
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NPI Number | 1225288616
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Entity Type | Organization
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Legal Business Name | DORIS LANGSTON, LCSW, P.C.
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 1002 W GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73501-3723
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Country | US
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Telephone | 580-353-7760
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Fax | 580-351-0084
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Provider Business Mailing Address
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Address Line | 1002 W GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73501-3723
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Country | US
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Telephone | 580-353-7760
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Fax | 580-351-0084
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SARAH LYN HEWES
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Credential |
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Telephone | 580-353-7760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1904
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License Number State | OK
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