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General NPI Number Information
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NPI Number | 1386432375
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Entity Type | Individual
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Provider Name | LILLIAN SMITH RBT
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 19 E DAWES AVE STE A
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City | BIXBY
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State | OK
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Zip | 74008-4414
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Country | US
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Telephone | 918-928-5437
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Fax | 888-720-8944
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Provider Business Mailing Address
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Address Line | 7711 E 111TH ST STE 111
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City | TULSA
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State | OK
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Zip | 74133-2563
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Country | US
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Telephone | 918-928-5437
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Fax | 888-720-8944
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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