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General NPI Number Information
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NPI Number | 1467570499
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Entity Type | Individual
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Provider Name | TAMMY LYNN FOWLER RICE LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 3909 SE 29TH ST STE 120
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City | OKLAHOMA CITY
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State | OK
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Zip | 73115-2615
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Country | US
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Telephone | 405-435-3347
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 ROBIN RD
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City | MIDWEST CITY
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State | OK
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Zip | 73110-4131
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Country | US
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Telephone | 405-501-8029
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2756
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License Number State | OK
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