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General NPI Number Information
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NPI Number | 1659709103
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Entity Type | Organization
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Legal Business Name | KEIFER COUNSELING, INC
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Dates
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Enumeration Date | 10/20/2013
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Last Update Date | 10/20/2013
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Provider Practice Location Address
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Address Line | 7502 S TRENTON PL
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City | TULSA
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State | OK
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Zip | 74136-7338
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Country | US
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Telephone | 918-407-2136
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Fax |
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Provider Business Mailing Address
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Address Line | 7502 S TRENTON PL
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City | TULSA
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State | OK
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Zip | 74136-7338
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Country | US
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Telephone | 918-407-2136
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Fax |
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Authorized Official
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Title or Position | MARRIAGE & FAMILY THERAPIST
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Name | MRS. BRITTAIN DELYNN KEIFER
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Credential | MA, LMFT
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Telephone | 918-407-2136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 941
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License Number State | OK
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