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General NPI Number Information
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NPI Number | 1356167928
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Entity Type | Organization
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Legal Business Name | UGC WE GAIN LLC
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Dates
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Enumeration Date | 11/28/2024
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Last Update Date | 11/28/2024
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Provider Practice Location Address
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Address Line | 15949 US HWY. 271
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City | SPIRO
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State | OK
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Zip | 74959
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Country | US
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Telephone | 918-839-1743
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Fax |
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Provider Business Mailing Address
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Address Line | 15949 US HWY. 271
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City | SPIRO
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State | OK
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Zip | 74959
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Country | US
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Telephone | 918-839-1743
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAMEISHA PHILLIPS
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Credential | CM1,PRSS
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Telephone | 918-839-1743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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