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General NPI Number Information
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NPI Number | 1235451022
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Entity Type | Individual
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Provider Name | MICHAEL BEATTIE COLEMAN LADC
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Gender | Male
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 404 N GRAND ST
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City | ENID
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State | OK
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Zip | 73701-3215
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Country | US
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Telephone | 580-747-5327
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Fax |
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Provider Business Mailing Address
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Address Line | 1939 ARAPAHO DR
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City | ENID
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State | OK
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Zip | 73703-7666
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Country | US
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Telephone | 580-747-5327
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 502
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License Number State | OK
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