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General NPI Number Information
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NPI Number | 1497926471
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Entity Type | Individual
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Provider Name | DEBORAH SUE VANDERPOOL LPC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 1020 LENAPE DR
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City | NOWATA
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State | OK
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Zip | 74048-4403
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Country | US
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Telephone | 918-273-7504
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Fax | 918-273-3451
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Provider Business Mailing Address
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Address Line | PO BOX 858
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City | OOLOGAH
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State | OK
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Zip | 74053-0858
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Country | US
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Telephone | 918-833-0571
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Fax | 918-342-6815
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4693
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4693
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License Number State | OK
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