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General NPI Number Information
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NPI Number | 1407058639
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Entity Type | Individual
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Provider Name | PATTY GAIL PATTEN M.S.,LPC,LMFT,LADC
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 03/22/2010
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Provider Practice Location Address
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Address Line | 1700 W BRITTON RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-1312
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Country | US
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Telephone | 405-818-1585
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Fax | 405-285-8760
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Provider Business Mailing Address
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Address Line | 3808 MEADOW LN
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City | EDMOND
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State | OK
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Zip | 73013-5432
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Country | US
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Telephone | 918-284-0733
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Fax | 405-285-8760
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1189
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 244
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License Number State | OK
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