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General NPI Number Information
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NPI Number | 1609205509
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Entity Type | Individual
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Provider Name | MRS. WYNETTA LITTLES
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Gender | Female
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 401 S BOSTON SUITE 400
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City | TULSA
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State | OK
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Zip | 74103
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Country | US
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Telephone | 918-402-3547
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Fax |
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Provider Business Mailing Address
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Address Line | 2421 W NEWTON CT
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City | TULSA
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State | OK
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Zip | 74127-3023
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Country | US
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Telephone | 918-583-0532
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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