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General NPI Number Information
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NPI Number | 1639530918
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Entity Type | Organization
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Legal Business Name | PAUL&ASSOCIATES INC. COUNSELING SERVICES
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 4102 N COUNCIL RD APT 20
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City | BETHANY
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State | OK
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Zip | 73008-3101
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Country | US
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Telephone | 405-855-3433
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Fax |
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Provider Business Mailing Address
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Address Line | 4102 N COUNCIL RD APT 20
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City | BETHANY
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State | OK
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Zip | 73008-3103
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Country | US
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Telephone | 405-885-3433
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Fax |
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Authorized Official
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Title or Position | CASE MANAGER
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Name | MR. TOMMY IRISOANGA
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Credential |
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Telephone | 405-885-3433
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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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