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General NPI Number Information
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NPI Number | 1336263334
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Entity Type | Individual
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Provider Name | HELENE R TEAGUE-SMITH BSW
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Gender | Female
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6128 E 38TH ST SUITE 305
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City | TULSA
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State | OK
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Zip | 74135-5832
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Country | US
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Telephone | 918-599-7404
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Fax | 918-584-2530
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Provider Business Mailing Address
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Address Line | 4624 N ROCKFORD AVE
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City | TULSA
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State | OK
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Zip | 74126-3408
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Country | US
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Telephone | 918-425-3607
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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