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General NPI Number Information
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NPI Number | 1477856268
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Entity Type | Organization
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Legal Business Name | OKLAHOMA FAMILY COUNSELING SERVICES
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Dates
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Enumeration Date | 12/16/2010
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 428 S MUSTANG RD
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City | YUKON
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State | OK
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Zip | 73099-6754
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Country | US
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Telephone | 405-577-5477
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Fax | 405-577-5488
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Provider Business Mailing Address
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Address Line | 428 S MUSTANG RD
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City | YUKON
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State | OK
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Zip | 73099-6754
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Country | US
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Telephone | 405-577-5477
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Fax | 405-577-5488
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Authorized Official
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Title or Position | THERAPIST
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Name | SHANNA ALLEN
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Credential | MA,LPC
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Telephone | 405-577-5477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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