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General NPI Number Information
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NPI Number | 1326441650
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Entity Type | Organization
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Legal Business Name | COUNSELING WITH A TWIST
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 4113 HIDDEN LAKE CIR
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City | MOORE
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State | OK
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Zip | 73160-5428
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Country | US
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Telephone | 405-204-1145
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Fax |
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Provider Business Mailing Address
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Address Line | 4113 HIDDEN LAKE CIR
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City | MOORE
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State | OK
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Zip | 73160-5428
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Country | US
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Telephone | 405-204-1145
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. JENNIFER LEE TROMPETER
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Credential | MHR, LPC CANDIDATE
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Telephone | 405-204-1145
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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 |
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License Number State | OK
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