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General NPI Number Information
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NPI Number | 1366249633
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Entity Type | Organization
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Legal Business Name | ALL I CAN BE, LLC
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 13720 E 86TH ST N STE 170
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City | OWASSO
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State | OK
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Zip | 74055-8741
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Country | US
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Telephone | 918-516-8128
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Fax | 539-399-7548
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Provider Business Mailing Address
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Address Line | 25625 BRIAR DR
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City | CLAREMORE
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State | OK
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Zip | 74019-4512
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Country | US
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Telephone | 918-516-8128
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Fax | 539-399-7548
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Authorized Official
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Title or Position | OWNER
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Name | MS. BRITTANY LAYNE GAROUTTE
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Credential | LPC
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Telephone | 918-516-8128
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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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