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General NPI Number Information
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NPI Number | 1699055871
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Entity Type | Individual
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Provider Name | TERESA REEVES M.S.W
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Gender | Female
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 15310 N MAY AVE # 201
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City | EDMOND
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State | OK
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Zip | 73013
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Country | US
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Telephone | 405-938-1444
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Fax | 405-938-1445
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Provider Business Mailing Address
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Address Line | 5085 NW 220TH ST
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City | EDMOND
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State | OK
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Zip | 73025-9167
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Country | US
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Telephone | 405-740-0253
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5029
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License Number State | OK
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