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General NPI Number Information
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NPI Number | 1649309626
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Entity Type | Organization
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Legal Business Name | COPE
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 04/01/2015
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Provider Practice Location Address
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Address Line | 2701 N OKLAHOMA AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73105-2724
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Country | US
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Telephone | 405-528-8686
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Fax | 405-528-8692
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Provider Business Mailing Address
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Address Line | 2701 N OKLAHOMA AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73105-2724
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Country | US
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Telephone | 405-528-8686
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Fax | 405-528-8692
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. WILLIE L HASKINS JR.
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Credential | PH. D.
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Telephone | 405-528-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | OK
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