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NPI 1558505701

NPI 1558505701 : OKLAHOMA MENTAL HEALTH COUNCIL : YUKON, OK

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General NPI Number Information
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    NPI Number           |    1558505701
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    Entity Type          |    Organization 
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    Legal Business Name  |    OKLAHOMA MENTAL HEALTH COUNCIL 
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Dates
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    Enumeration Date     |    04/30/2009
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    Last Update Date     |    09/28/2018
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Provider Practice Location Address
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    Address Line         |    1501 WEST COMMERCE 
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    City                 |    YUKON
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    State                |    OK
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    Zip                  |    73099
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    Country              |    US
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    Telephone            |    405-354-1927
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    Fax                  |    405-354-3927
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Provider Business Mailing Address
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    Address Line         |    4400 N LINCOLN BLVD 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73105-5104
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    Country              |    US
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    Telephone            |    405-425-0428
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    Fax                  |    405-419-3042
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     VERNA  FOUST 
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    Credential           |    
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    Telephone            |    405-424-7711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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