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General NPI Number Information
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NPI Number | 1518229038
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Entity Type | Organization
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Legal Business Name | NEW PATHWAYS, LLC
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 111 1/2 S YORK ST
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City | MUSKOGEE
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State | OK
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Zip | 74403-5952
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Country | US
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Telephone | 918-682-7797
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Fax | 918-686-8881
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Provider Business Mailing Address
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Address Line | 111 1/2 S YORK ST
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City | MUSKOGEE
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State | OK
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Zip | 74403-5952
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Country | US
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Telephone | 918-682-7797
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Fax | 918-686-8881
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY C WARD
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Credential | LPC
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Telephone | 918-682-7797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4131
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License Number State | OK
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