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General NPI Number Information
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NPI Number | 1447492764
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Entity Type | Individual
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Provider Name | ELIZABETH DEW LPC
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Gender | Female
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 1101 E WASHINGTON AVE
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City | MCALESTER
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State | OK
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Zip | 74501-4919
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Country | US
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Telephone | 918-420-5006
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Fax | 918-000-0000
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Provider Business Mailing Address
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Address Line | 1506 E SEMINOLE AVE
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City | MCALESTER
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State | OK
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Zip | 74501-6062
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Country | US
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Telephone | 918-429-5170
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 499
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License Number State | OK
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