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General NPI Number Information
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NPI Number | 1275868747
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Entity Type | Individual
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Provider Name | KARENE STRAUB MSHR
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Gender | Female
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Dates
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Enumeration Date | 10/16/2009
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 717 HIGHWAY 70 E STE B
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City | KINGSTON
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State | OK
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Zip | 73439-8253
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Country | US
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Telephone | 580-795-3794
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Fax |
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Provider Business Mailing Address
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Address Line | 512 E 24TH ST
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City | TISHOMINGO
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State | OK
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Zip | 73460-3214
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Country | US
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Telephone | 580-624-0150
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Fax | 855-286-8580
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 4161
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License Number State | OK
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