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General NPI Number Information
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NPI Number | 1700143096
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Entity Type | Individual
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Provider Name | ANGELA BONTEMPS HARDMAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/12/2012
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 10159 E 11TH ST
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City | TULSA
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State | OK
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Zip | 74128-3058
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Country | US
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Telephone | 918-237-9508
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Fax | 918-844-6993
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Provider Business Mailing Address
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Address Line | 8302 N 101ST EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-2365
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Country | US
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Telephone | 918-272-1556
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Fax | 918-272-1556
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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 | 2455
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License Number State | OK
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