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NPI 1699091520

NPI 1699091520 : MEGAN K SHELBY LPC : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1699091520
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN K SHELBY LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/16/2010
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    Last Update Date     |    05/08/2018
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Provider Practice Location Address
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    Address Line         |    1200 NE 13TH ST 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73117-1022
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    Country              |    US
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    Telephone            |    405-522-8100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    900 E MAIN ST BLDG 52 
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73071-5305
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    Country              |    US
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    Telephone            |    405-307-4811
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    Fax                  |    405-307-4828
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    6797
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    License Number State |    OK
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