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General NPI Number Information
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NPI Number | 1558778928
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Entity Type | Organization
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Legal Business Name | CHILDREN'S THERAPEUTIC STRATEGIES, PLLC
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 3650 CAMELOT DR SUITE 8
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City | BARTLESVILLE
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State | OK
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Zip | 74006-7623
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Country | US
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Telephone | 918-907-1081
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Fax | 918-516-0442
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Provider Business Mailing Address
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Address Line | 3650 CAMELOT DR SUITE 8
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City | BARTLESVILLE
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State | OK
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Zip | 74006-7623
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Country | US
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Telephone | 918-907-1081
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Fax | 918-516-0442
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Authorized Official
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Title or Position | CHILDREN'S THERAPIST/DIRECTOR
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Name | MRS. ANGELA KAY METCALF
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Credential | MA., LPC
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Telephone | 918-907-1081
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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 | 5127
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License Number State | OK
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