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General NPI Number Information
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NPI Number | 1700444668
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Entity Type | Organization
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Legal Business Name | THE LPC GROUP LLC
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 1215 CROSSROADS BLVD STE 204
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City | NORMAN
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State | OK
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Zip | 73072-3332
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Country | US
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Telephone | 405-824-7061
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Fax |
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Provider Business Mailing Address
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Address Line | 718 TERRACE PL
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City | NORMAN
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State | OK
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Zip | 73069-5056
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Country | US
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Telephone | 405-824-7061
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Fax |
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Authorized Official
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Title or Position | OWNING MEMBER
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Name | AMBER DANIELSON
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Credential | LPC, LADC
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Telephone | 405-824-7061
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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