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General NPI Number Information
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NPI Number | 1588667703
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Entity Type | Individual
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Provider Name | PRESTON LYNN SIMS M.ED.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 02/17/2024
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Provider Practice Location Address
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Address Line | 4334 NW EXPRESSWAY STE 266
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-1578
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Country | US
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Telephone | 405-842-6552
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Fax | 405-842-6559
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Provider Business Mailing Address
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Address Line | PO BOX 721175
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City | OKLAHOMA CITY
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State | OK
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Zip | 73172-1175
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Country | US
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Telephone | 405-842-6552
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Fax | 405-842-6559
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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 | 7
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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 | 75
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License Number State | OK
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