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General NPI Number Information
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NPI Number | 1508117672
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Entity Type | Organization
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Legal Business Name | CALMING CONNECTIONS LLC
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Dates
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Enumeration Date | 09/28/2012
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Last Update Date | 09/28/2012
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Provider Practice Location Address
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Address Line | 1140 MAYBERRY DR
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City | TAHLEQUAH
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State | OK
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Zip | 74464-4603
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Country | US
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Telephone | 918-453-1108
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Fax | 918-453-2019
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Provider Business Mailing Address
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Address Line | 1140 MAYBERRY DR
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City | TAHLEQUAH
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State | OK
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Zip | 74464-4603
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Country | US
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Telephone | 918-453-1108
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Fax | 918-453-2019
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/OWNER
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Name | LAURNA CHAMP
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Credential | PH.D.
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Telephone | 918-453-1108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | OK
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