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General NPI Number Information
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NPI Number | 1689912354
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Entity Type | Individual
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Provider Name | LINDA ANN BYERS BS
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Gender | Female
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 1301 SE 59TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73129-7307
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Country | US
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Telephone | 405-672-8371
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Fax |
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Provider Business Mailing Address
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Address Line | 200 TULIP TRL
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City | EDMOND
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State | OK
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Zip | 73025-1023
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Country | US
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Telephone | 405-519-4468
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Fax | 405-672-8371
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 67
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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