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General NPI Number Information
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NPI Number | 1558664466
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Entity Type | Individual
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Provider Name | ERIKA JANET DIAZ MS LPC
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Gender | Female
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Dates
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Enumeration Date | 12/15/2010
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 5310 E 31ST ST
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City | TULSA
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State | OK
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Zip | 74135-5012
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Country | US
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Telephone | 918-381-3749
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 W HOUSTON ST STE E
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City | BROKEN ARROW
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State | OK
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Zip | 74012-3504
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Country | US
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Telephone | 918-381-3749
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Fax | 539-399-7570
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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