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General NPI Number Information
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NPI Number | 1417799768
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Entity Type | Individual
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Provider Name | CALEB LAMB-SWANIGAN MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 06/08/2024
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Last Update Date | 06/08/2024
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Provider Practice Location Address
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Address Line | 616 NW 21ST ST STE 116
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-1861
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Country | US
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Telephone | 816-377-4897
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Fax |
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Provider Business Mailing Address
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Address Line | 2738 NW 19TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73107-3941
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Country | US
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Telephone | 816-377-4897
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12006
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License Number State | OK
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