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General NPI Number Information
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NPI Number | 1508073628
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Entity Type | Individual
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Provider Name | TASHA SHERMAN-HARRIS-GOLSON MS
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 7250 NW EXPRESSWAY STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73132-1522
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Country | US
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Telephone | 405-802-9040
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Fax | 405-554-2947
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Provider Business Mailing Address
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Address Line | PO BOX 50315
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City | MIDWEST CITY
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State | OK
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Zip | 73140-5315
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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