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General NPI Number Information
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NPI Number | 1306908389
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Entity Type | Individual
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Provider Name | JOHN SWYERS MHR, LPC
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Gender | Male
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 7291 E 81ST ST
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City | TULSA
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State | OK
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Zip | 74133-4228
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Country | US
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Telephone | 918-413-6974
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Fax |
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Provider Business Mailing Address
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Address Line | 6709 E 75TH CT
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City | TULSA
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State | OK
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Zip | 74133-3031
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Country | US
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Telephone | 918-413-6974
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4160
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License Number State | OK
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