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General NPI Number Information
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NPI Number | 1497070908
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Entity Type | Individual
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Provider Name | STELLA STELIANE ANGELIDIS LPC
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Gender | Female
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 05/30/2014
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Provider Practice Location Address
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Address Line | 6715 NORTH MAY AVENUE #102
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116
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Country | US
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Telephone | 405-418-7574
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Fax | 405-608-4419
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Provider Business Mailing Address
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Address Line | 6715 NORTH MAY AVENUE #102
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116
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Country | US
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Telephone | 405-418-7574
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Fax | 405-608-4419
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH9745
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 4804
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 5339
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License Number State | OK
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