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General NPI Number Information
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NPI Number | 1295517498
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Entity Type | Organization
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Legal Business Name | PATRICIA L. REMBERT-ANDERSON, LPC, COUNSELING, P.L.L.C.
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 1704 NW 45TH ST
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City | LAWTON
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State | OK
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Zip | 73505-3625
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Country | US
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Telephone | 580-595-7114
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Fax |
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Provider Business Mailing Address
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Address Line | 1704 NW 45TH ST
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City | LAWTON
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State | OK
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Zip | 73505-3625
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Country | US
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Telephone | 580-595-7114
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. PATRICIA LYNN REMBERT-ANDERSON
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Credential | MHR, LPC, NCC
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Telephone | 580-341-7177
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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 |
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Taxonomy #2
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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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