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General NPI Number Information
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NPI Number | 1326393489
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Entity Type | Organization
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Legal Business Name | OAKS COUNSELING LLC
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 07/16/2012
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Provider Practice Location Address
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Address Line | 6815 ISAACS ORCHARD RD STE B1
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City | SPRINGDALE
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State | AR
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Zip | 72762-6096
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Country | US
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Telephone | 479-595-1215
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Fax |
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Provider Business Mailing Address
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Address Line | 6815 ISAACS ORCHARD RD STE B1
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City | SPRINGDALE
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State | AR
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Zip | 72762-6096
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Country | US
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Telephone | 479-595-1215
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BENSON CASHION JR.
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Credential | LAC
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Telephone | 479-595-1215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A1109090
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License Number State | AR
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