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General NPI Number Information
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NPI Number | 1619485216
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Entity Type | Individual
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Provider Name | RAS WYITTE MCADAMS III LPC
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Gender | Male
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 7941 E 57TH ST STE 1
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City | TULSA
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State | OK
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Zip | 74145-8645
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Country | US
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Telephone | 918-888-6456
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Fax |
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Provider Business Mailing Address
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Address Line | 1202 W BIRMINGHAM PL
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City | BROKEN ARROW
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State | OK
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Zip | 74011-3059
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Country | US
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Telephone | 539-222-8899
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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