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General NPI Number Information
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NPI Number | 1528318623
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Entity Type | Individual
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Provider Name | WENDY LYN GIRTEN
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Gender | Female
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Dates
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Enumeration Date | 09/16/2012
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Last Update Date | 09/16/2012
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Provider Practice Location Address
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Address Line | 1600 E US HIGHWAY 66
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City | EL RENO
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State | OK
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Zip | 73036-5787
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Country | US
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Telephone | 405-262-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 8001 15TH ST SW
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City | EL RENO
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State | OK
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Zip | 73036-9702
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Country | US
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Telephone | 405-590-5571
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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