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General NPI Number Information
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NPI Number | 1386910883
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Entity Type | Organization
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Legal Business Name | TO INSPIRE YOUTH AND FAMILY COUNSELING
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 03/14/2013
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Provider Practice Location Address
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Address Line | 7901 NE 10TH ST STE C111
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City | MIDWEST CITY
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State | OK
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Zip | 73110-3653
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Country | US
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Telephone | 405-436-9517
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 NE 10TH ST
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City | MIDWEST CITY
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State | OK
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Zip | 73110-3600
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Country | US
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Telephone | 405-436-9517
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ELSIE NICOLE WINSTON
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Credential |
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Telephone | 405-436-9517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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