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General NPI Number Information
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NPI Number | 1407999121
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Entity Type | Individual
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Provider Name | MONICA MARIE DEAR LPC, RPT
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/26/2013
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Provider Practice Location Address
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Address Line | 1334 N LANSING AVE
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City | TULSA
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State | OK
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Zip | 74106-5907
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Country | US
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Telephone | 918-295-9383
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 S ASTER AVE
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City | BROKEN ARROW
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State | OK
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Zip | 74012-6075
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Country | US
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Telephone | 918-549-8946
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3263
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License Number State | OK
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