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General NPI Number Information
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NPI Number | 1386751485
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Entity Type | Organization
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Legal Business Name | CENTER FOR COUNSELING AND EDUCATION
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1244 S UTICA AVE
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City | TULSA
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State | OK
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Zip | 74104-4213
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Country | US
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Telephone | 918-295-8692
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Fax | 918-592-5789
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Provider Business Mailing Address
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Address Line | 2761 E SKELLY DR SUITE 700
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City | TULSA
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State | OK
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Zip | 74105-6232
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Country | US
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Telephone | 918-747-6800
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Fax | 918-592-5789
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CLYDE GLANDON
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Credential | PHD
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Telephone | 918-747-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 2246
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License Number State | OK
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