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General NPI Number Information
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NPI Number | 1528573771
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Entity Type | Individual
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Provider Name | LESLIE RENEE CRANE LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 07/09/2022
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Provider Practice Location Address
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Address Line | 101 PARK AVE STE 1300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-7216
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Country | US
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Telephone | 405-265-8120
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Fax |
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Provider Business Mailing Address
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Address Line | 3729 SPRING HILL DR
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City | EDMOND
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State | OK
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Zip | 73013-6927
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Country | US
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Telephone | 405-657-4376
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1357
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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