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General NPI Number Information
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NPI Number | 1548041858
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Entity Type | Individual
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Provider Name | PAIGE HUNTINGTON LPC
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Gender | Female
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 6612 NW 42ND ST
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City | BETHANY
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State | OK
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Zip | 73008-2764
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Country | US
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Telephone | 405-717-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 N ALEXANDER LN
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City | BETHANY
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State | OK
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Zip | 73008-3725
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Country | US
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Telephone | 405-596-4862
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11744
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License Number State | OK
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