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General NPI Number Information
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NPI Number | 1700447471
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Entity Type | Individual
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Provider Name | KATHY DIANE ROBBINS LPC CANDIDATE
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Gender | Female
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 6801 S WESTERN AVE STE 203&205
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-1817
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Country | US
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Telephone | 405-821-6447
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Fax |
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Provider Business Mailing Address
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Address Line | 3852 SE 54TH PL
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City | NORMAN
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State | OK
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Zip | 73072-1015
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Country | US
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Telephone | 405-308-2272
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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 | 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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