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General NPI Number Information
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NPI Number | 1437963204
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Entity Type | Organization
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Legal Business Name | ICARE THERAPY OK LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 100 NE 5TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-2228
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Country | US
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Telephone | 866-588-8829
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Fax |
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Provider Business Mailing Address
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Address Line | 825 W END AVE
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City | NEW YORK
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State | NY
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Zip | 10025-5349
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ALEXANDER DENCIGER
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Credential |
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Telephone | 800-264-1985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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