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General NPI Number Information
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NPI Number | 1619312154
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Entity Type | Organization
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Legal Business Name | NEW DIMENSIONS YOUTH AND FAMILY COUNSELING LLC,
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Dates
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Enumeration Date | 05/09/2013
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 2836 LINDA LN
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City | DEL CITY
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State | OK
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Zip | 73115-5012
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Country | US
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Telephone | 405-609-2310
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Fax | 405-609-2310
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Provider Business Mailing Address
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Address Line | 2836 LINDA LN
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City | DEL CITY
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State | OK
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Zip | 73115-5012
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Country | US
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Telephone | 405-609-2310
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Fax | 405-609-2310
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Authorized Official
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Title or Position | CHIEF EXECUTIVE DIRECTOR
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Name | FLORENCE CHIME ONYIA
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Credential | MHR, LPC-U/S
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Telephone | 405-609-2310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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