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General NPI Number Information
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NPI Number | 1710231386
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Entity Type | Organization
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Legal Business Name | A BETTER CHOICE COUNSELING SERVICE
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 4900 S WESTERN AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-3838
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Country | US
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Telephone | 405-601-3324
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Fax | 405-605-7820
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Provider Business Mailing Address
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Address Line | 4900 SOUTH WESTERN AVE
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City | OKLAHOMA, CITY
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State | OK
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Zip | 73109-3838
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Country | US
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Telephone | 405-601-3324
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Fax | 405-605-7820
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. PAUL D. WEST
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Credential | LADC
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Telephone | 405-601-3324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 230
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License Number State | OK
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