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General NPI Number Information
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NPI Number | 1225316003
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Entity Type | Organization
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Legal Business Name | ANOTHER CHANCE COUNSELING AGENCY, INC
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Dates
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Enumeration Date | 07/28/2011
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Last Update Date | 07/28/2011
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Provider Practice Location Address
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Address Line | 8306 NE 10TH ST
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City | MIDWEST CITY
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State | OK
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Zip | 73110-7155
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Country | US
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Telephone | 405-732-0573
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Fax | 405-455-3989
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Provider Business Mailing Address
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Address Line | 8306 NE 10TH ST
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City | MIDWEST CITY
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State | OK
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Zip | 73110-7155
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Country | US
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Telephone | 405-732-0573
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Fax | 405-455-3989
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Authorized Official
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Title or Position | COO
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Name | MRS. FELICIA ANN MANNING
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Credential |
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Telephone | 405-732-0573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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