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General NPI Number Information
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NPI Number | 1598700452
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Entity Type | Individual
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Provider Name | BEVERLY JEAN COMPTON-AMOS LPC
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Gender | Female
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1637 STUBBEMAN AVE
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City | NORMAN
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State | OK
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Zip | 73069-8661
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Country | US
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Telephone | 405-292-0220
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Fax | 405-307-0294
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Provider Business Mailing Address
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Address Line | PO BOX 5072
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City | NORMAN
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State | OK
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Zip | 73070-5072
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Country | US
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Telephone | 405-292-0220
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Fax | 405-307-0294
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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 | 1833
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License Number State | OK
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