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General NPI Number Information
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NPI Number | 1477954022
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Entity Type | Organization
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Legal Business Name | BLIND GIRL CONSULTING PLLC
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 330 W GRAY ST SUITE 415
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City | NORMAN
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State | OK
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Zip | 73069-7129
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Country | US
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Telephone | 405-600-0695
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Fax |
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Provider Business Mailing Address
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Address Line | 330 W GRAY ST SUITE 415
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City | NORMAN
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State | OK
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Zip | 73069-7129
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Country | US
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Telephone | 405-600-0695
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JEANNIE M. MASSAY
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Credential | M.A.,LPC
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Telephone | 405-600-0695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5265
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License Number State | OK
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