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General NPI Number Information
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NPI Number | 1730070541
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Entity Type | Individual
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Provider Name | ANGEL HUERTA M.S.
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Gender | Male
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 15 W 6TH ST STE 1211
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City | TULSA
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State | OK
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Zip | 74119-5406
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Country | US
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Telephone | 918-295-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 3602 N WASHINGTON ST APT I85
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City | STILLWATER
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State | OK
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Zip | 74075-1327
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Country | US
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Telephone | 915-274-8297
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCCANDIDATE12832
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License Number State | OK
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