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General NPI Number Information
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NPI Number | 1659840064
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Entity Type | Organization
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Legal Business Name | IT STARTS WITH YOU, LPC PLLC
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Dates
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Enumeration Date | 11/14/2018
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 200 N HARVEY AVE APT 906
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-4023
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Country | US
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Telephone | 405-473-2964
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Fax | 405-900-5005
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Provider Business Mailing Address
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Address Line | 200 N HARVEY AVE APT 906
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-4023
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Country | US
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Telephone | 405-473-2964
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Fax | 405-900-5005
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Authorized Official
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Title or Position | THERAPIST
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Name | TAMIKA BURROUGH
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Credential | MHR, LPC
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Telephone | 405-473-2964
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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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