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General NPI Number Information
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NPI Number | 1528612439
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Entity Type | Organization
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Legal Business Name | DEACONESS PREGNANCY & ADOPTION
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 8308 N MAY AVE STE 100
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-4551
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Country | US
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Telephone | 405-949-4200
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Fax | 405-720-8686
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Provider Business Mailing Address
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Address Line | 8308 N MAY AVE STE 100
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-4551
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Country | US
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Telephone | 405-949-4200
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Fax | 405-720-8686
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | HEATHER HAILS
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Credential | LCSW
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Telephone | 405-949-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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