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NPI 1548394448

NPI 1548394448 : ANGELA M LINGER LPC : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1548394448
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA M LINGER LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/15/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    201 S GARNETT RD 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74128-1805
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    Country              |    US
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    Telephone            |    918-438-4257
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2509 S HICKORY CT 
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    City                 |    BROKEN ARROW
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    State                |    OK
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    Zip                  |    74012-7648
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    Country              |    US
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    Telephone            |    918-851-9411
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    3564
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    License Number State |    OK
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