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NPI 1417481029

NPI 1417481029 : DANIELL CRAIG LLOYD LPC-C : MIDWEST CITY, OK

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General NPI Number Information
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    NPI Number           |    1417481029
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    Entity Type          |    Individual 
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    Provider Name        |    DANIELL CRAIG LLOYD LPC-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/20/2017
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    Last Update Date     |    04/20/2017
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Provider Practice Location Address
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    Address Line         |    2801 PARKLAWN DR 
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    City                 |    MIDWEST CITY
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    State                |    OK
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    Zip                  |    73110-4211
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    Country              |    US
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    Telephone            |    405-610-3644
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    Fax                  |    405-610-3647
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Provider Business Mailing Address
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    Address Line         |    1305 N GATEWOOD AVE APARTMENT A
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73106-2276
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    Country              |    US
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    Telephone            |    405-408-3035
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    Fax                  |    405-610-3364
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    
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