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General NPI Number Information
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NPI Number | 1326473000
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Entity Type | Organization
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Legal Business Name | 3 DIMENSION COUNSELING SERVICES
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 400 S BROADWAY
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City | EDMOND
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State | OK
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Zip | 73034
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Country | US
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Telephone | 405-414-1088
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S BROADWAY STE 10
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City | EDMOND
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State | OK
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Zip | 73034-3848
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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 | EXECUTIVE DIRECTOR
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Name | JOHN DAILEY
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Credential |
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Telephone | 405-414-1088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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