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General NPI Number Information
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NPI Number | 1548563034
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Entity Type | Individual
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Provider Name | LINDA MARIE COMPTON LPC, LADC. CM, NCC
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Gender | Female
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 501 N MUSTANG RD STE G
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City | MUSTANG
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State | OK
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Zip | 73064-7044
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Country | US
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Telephone | 405-445-8687
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Fax | 405-265-7577
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Provider Business Mailing Address
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Address Line | 501 N MUSTANG RD STE G
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City | MUSTANG
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State | OK
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Zip | 73064-7044
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Country | US
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Telephone | 405-445-8687
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Fax | 405-265-7577
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 794
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3235
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License Number State | OK
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