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General NPI Number Information
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NPI Number | 1730573924
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Entity Type | Organization
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Legal Business Name | ARTFULLY REBUILDING TOGETHER, LLC
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 1320 E 9TH ST SUITE 6
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City | EDMOND
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State | OK
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Zip | 73034-5772
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Country | US
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Telephone | 405-558-1893
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 E 9TH ST SUITE 6
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City | EDMOND
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State | OK
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Zip | 73034-5772
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN PARRISH
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Credential | MS, LPC, ATR
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Telephone | 405-558-1893
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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 |
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License Number State | OK
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