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General NPI Number Information
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NPI Number | 1588891766
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Entity Type | Individual
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Provider Name | REBECCA HOLT
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Gender | Female
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 9601 S PORTLAND AVE
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City | GUTHRIE
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State | OK
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Zip | 73044-9337
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Country | US
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Telephone | 405-697-2109
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Fax |
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Provider Business Mailing Address
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Address Line | 1119 NW 41ST ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-5444
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Country | US
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Telephone | 817-713-7943
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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