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General NPI Number Information
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NPI Number | 1437272630
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Entity Type | Individual
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Provider Name | TERESA EDWARDS LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 5800 E SKELLY DR STE 650
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City | TULSA
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State | OK
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Zip | 74135-6462
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Country | US
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Telephone | 918-960-0523
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Fax |
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Provider Business Mailing Address
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Address Line | 1708 W FORT WORTH ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-8355
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Country | US
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Telephone | 918-398-3819
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 899
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License Number State | OK
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