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General NPI Number Information
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NPI Number | 1295047074
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Entity Type | Organization
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Legal Business Name | NORMAN ADDICTION INFORMATION & COUNSELING
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 215 W LINN ST
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City | NORMAN
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State | OK
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Zip | 73069-5837
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Country | US
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Telephone | 405-321-0022
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Fax | 405-360-7918
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Provider Business Mailing Address
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Address Line | PO BOX 730
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City | NORMAN
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State | OK
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Zip | 73070-0730
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Country | US
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Telephone | 405-321-0022
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Fax | 405-360-7918
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. TERESA COLLADO
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Credential |
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Telephone | 405-321-0022
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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 |
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License Number State | OK
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