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General NPI Number Information
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NPI Number | 1346361763
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Entity Type | Individual
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Provider Name | NEAL L BAUMWART ED.D., LMFT, LPC
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2525 NORTHWEST EXPRESSWAY SUITE 420
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112
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Country | US
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Telephone | 405-570-8165
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Fax |
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Provider Business Mailing Address
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Address Line | 2305 NW 48
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-8363
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Country | US
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Telephone | 405-840-2138
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC 1088
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT 0145
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License Number State | OK
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