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General NPI Number Information
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NPI Number | 1386262632
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Entity Type | Individual
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Provider Name | RILEY JORDAN COPELAND LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 13101 MEMORIAL SPRINGS CT
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-2228
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Country | US
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Telephone | 405-438-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1607 NW 29TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-3413
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Country | US
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Telephone | 580-341-0823
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8874
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License Number State | OK
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