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General NPI Number Information
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NPI Number | 1356661987
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Entity Type | Individual
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Provider Name | VERENA LYNN TITUS L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2010
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Last Update Date | 06/05/2010
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Provider Practice Location Address
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Address Line | 5151 E 51ST ST STE 106
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City | TULSA
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State | OK
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Zip | 74135-7450
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Country | US
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Telephone | 918-852-8042
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Fax | 918-622-5156
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Provider Business Mailing Address
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Address Line | 3377 E SKELLY DR APT 104
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City | TULSA
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State | OK
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Zip | 74135-3201
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Country | US
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Telephone | 918-852-8042
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Fax | 918-622-5298
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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 | 3163
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License Number State | OK
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