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General NPI Number Information
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NPI Number | 1508132192
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Entity Type | Organization
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Legal Business Name | GARCIA COUNSELING
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 7200 RUSTIC CREEK RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73165-7131
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Country | US
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Telephone | 405-245-9520
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Fax | 405-793-8855
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Provider Business Mailing Address
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Address Line | 7200 RUSTIC CREEK RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73165-7131
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Country | US
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Telephone | 405-245-9520
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Fax | 405-793-8855
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Authorized Official
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Title or Position | CEO
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Name | MRS. LEA A GARCIA
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Credential | LPC
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Telephone | 405-245-9520
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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 | 3904
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License Number State | OK
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