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General NPI Number Information
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NPI Number | 1649593492
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Entity Type | Organization
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Legal Business Name | ITS ALL RELATIVE
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Dates
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Enumeration Date | 03/09/2010
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 3240 W BRITTON RD STE 102
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-2040
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Country | US
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Telephone | 405-413-2527
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Fax | 405-418-0177
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Provider Business Mailing Address
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Address Line | 3604 SAGE TRAIL CIR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73179-4819
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Country | US
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Telephone | 405-413-2527
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Fax | 405-418-0177
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VICKI S. REYNOLDS
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Credential | M.S., LPC-LMFT
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Telephone | 405-413-2527
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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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