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General NPI Number Information
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NPI Number | 1477003499
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Entity Type | Individual
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Provider Name | REBECCA BISWAS YORK LAC, LMSW, MSW U/S
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Gender | Female
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 204 E CHOCTAW AVE
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City | SALLISAW
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State | OK
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Zip | 74955-4604
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Country | US
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Telephone | 918-790-2292
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Fax |
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Provider Business Mailing Address
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Address Line | 103189 S 4720 RD
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City | MULDROW
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State | OK
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Zip | 74948-6298
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Country | US
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Telephone | 503-349-4391
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 20117
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 095
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License Number State | AR
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