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General NPI Number Information
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NPI Number | 1508127473
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Entity Type | Organization
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Legal Business Name | HEARTLAND CHRISTIAN COUNSELING, INC.
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 1019 WATERWOOD PKWY SUITE E
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City | EDMOND
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State | OK
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Zip | 73034-5332
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Country | US
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Telephone | 405-517-9950
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Fax |
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Provider Business Mailing Address
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Address Line | 1019 WATERWOOD PARKWAY SUITE E
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City | EDMOND
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State | OK
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Zip | 73034-5329
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Country | US
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Telephone | 405-517-9950
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | MRS. CATHERINE L. MOSIER
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Credential | LPC
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Telephone | 405-517-9950
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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 | 2299
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License Number State | OK
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