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General NPI Number Information
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NPI Number | 1316810518
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Entity Type | Organization
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Legal Business Name | THE LAGUNA GROUP, LLC
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 6801 S WESTERN AVE STE 105
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-1816
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Country | US
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Telephone | 405-338-7674
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 58218
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City | OKLAHOMA CITY
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State | OK
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Zip | 73157-8218
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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 | DIRECTOR
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Name | JOSE SOLIS
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Credential |
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Telephone | 405-558-1056
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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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