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General NPI Number Information
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NPI Number | 1316233190
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Entity Type | Organization
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Legal Business Name | R.V. MCLAUCHLIN, INC
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 1755 W 33RD ST SUITE 100
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City | EDMOND
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State | OK
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Zip | 73013-3854
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Country | US
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Telephone | 405-819-6192
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Fax |
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Provider Business Mailing Address
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Address Line | 2644 NW 118TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-7012
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Country | US
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Telephone | 405-819-6192
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. REX VINCENT MCLAUCHLIN
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Credential | M.ED., M.A., LPC
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Telephone | 405-819-6192
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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 | 3997
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License Number State | OK
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