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General NPI Number Information
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NPI Number | 1265390371
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Entity Type | Individual
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Provider Name | SARA BEATRIZ CAYALO SERRUDO
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 7301 N COMANCHE AVE
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City | WARR ACRES
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State | OK
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Zip | 73132-6646
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Country | US
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Telephone | 405-761-8358
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Fax |
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Provider Business Mailing Address
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Address Line | 7819 NW 16TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-3105
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Country | US
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Telephone | 214-968-1317
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | OK
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