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General NPI Number Information
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NPI Number | 1558635706
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Entity Type | Individual
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Provider Name | LAVONNE LEE ROUNDS M.ED
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Gender | Female
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 101 RIVERSIDE DR
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City | ANADARKO
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State | OK
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Zip | 73005-9772
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Country | US
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Telephone | 405-247-6874
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Fax | 405-247-2091
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Provider Business Mailing Address
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Address Line | RR 1 BOX 279
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City | FORT COBB
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State | OK
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Zip | 73038-9775
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Country | US
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Telephone | 405-850-4867
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Fax | 405-247-2091
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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 | 364
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License Number State | OK
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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 | 639
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License Number State | OK
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