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General NPI Number Information
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NPI Number | 1679838767
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Entity Type | Organization
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Legal Business Name | BEALL COUNSELING LLC
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Dates
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Enumeration Date | 07/05/2012
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 1116 BRANDYWINE LN UNIT 5
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City | NORMAN
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State | OK
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Zip | 73071-2091
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Country | US
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Telephone | 918-916-9001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 33
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City | NORMAN
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State | OK
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Zip | 73070-0033
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Country | US
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Telephone | 918-916-9001
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MICHELLE R BEALL
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Credential | M.ED., LPC
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Telephone | 918-916-9001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 3518
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License Number State | OK
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