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General NPI Number Information
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NPI Number | 1619015005
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Entity Type | Organization
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Legal Business Name | SUNBEAM FAMILY SERVICES, INC.
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 1100 NW 14TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-4450
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Country | US
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Telephone | 405-528-7721
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Fax | 405-338-4743
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Provider Business Mailing Address
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Address Line | 1100 NW 14TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-4450
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Country | US
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Telephone | 405-528-7721
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Fax | 405-609-2880
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Authorized Official
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Title or Position | SENIOR PROGRAM DIRECTOR
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Name | DESTYNI TRAYLER
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Credential |
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Telephone | 405-528-7721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | OK
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