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General NPI Number Information
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NPI Number | 1285965970
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Entity Type | Individual
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Provider Name | JOE BUXTON LMFT
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Gender | Male
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 9215 S 91ST EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-5645
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Country | US
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Telephone | 580-276-0483
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Fax |
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Provider Business Mailing Address
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Address Line | 9215 S 91ST EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-5645
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1061
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License Number State | OK
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