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General NPI Number Information
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NPI Number | 1730326281
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Entity Type | Individual
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Provider Name | HEATHER DAWN BROTTON LPC
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Gender | Female
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 3033 NW 63RD ST STE 160
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-3607
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Country | US
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Telephone | 405-315-7102
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Fax |
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Provider Business Mailing Address
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Address Line | 3033 NW 63RD ST STE 160E
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-3612
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Country | US
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Telephone | 405-658-6244
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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 | 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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4581
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License Number State | OK
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