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General NPI Number Information
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NPI Number | 1457693376
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Entity Type | Organization
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Legal Business Name | MYERS COUNSELING & CONSULTING, PC
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 1733 W 33RD ST SUITE 110
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City | EDMOND
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State | OK
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Zip | 73013-3865
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Country | US
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Telephone | 405-239-4800
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Fax | 405-285-6814
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Provider Business Mailing Address
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Address Line | PO BOX 721853
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City | OKLAHOMA CITY
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State | OK
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Zip | 73172-2043
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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 | PRESIDENT
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Name | GINGER MYERS
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Credential |
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Telephone | 405-239-4800
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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 | 1018
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License Number State | OK
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