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General NPI Number Information
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NPI Number | 1245522960
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Entity Type | Organization
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Legal Business Name | 3 STRANDS OF HOPE
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 608 KIHEKAH AVE
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City | PAWHUSKA
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State | OK
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Zip | 74056-4225
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Country | US
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Telephone | 405-742-8445
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Fax |
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Provider Business Mailing Address
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Address Line | 2720 W 27TH AVE
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City | STILLWATER
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State | OK
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Zip | 74074-2201
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Country | US
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Telephone | 405-742-8445
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. PENNY BRITTON
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Credential | LPC
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Telephone | 405-742-8445
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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 | 4462
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License Number State | OK
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