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General NPI Number Information
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NPI Number | 1679486898
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Entity Type | Individual
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Provider Name | BETHANY KAYE HILL
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Gender | Female
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 3300 S ASPEN AVE STE D
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City | BROKEN ARROW
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State | OK
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Zip | 74012-7501
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Country | US
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Telephone | 918-940-7158
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Fax | 918-512-2002
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Provider Business Mailing Address
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Address Line | 3512 E NASHVILLE ST
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City | BROKEN ARROW
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State | OK
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Zip | 74014-2970
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Country | US
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Telephone | 918-407-0342
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | NULL
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