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General NPI Number Information
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NPI Number | 1740300797
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Entity Type | Individual
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Provider Name | SHERRIS ANITA HARRIS-OSOSANYA MHR LPC
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Gender | Female
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 8828 NW 121ST ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-1099
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Country | US
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Telephone | 405-204-8719
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Fax |
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Provider Business Mailing Address
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Address Line | 821 NE 32ND ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73105-7623
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Country | US
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Telephone | 405-427-5209
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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 | 2365
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License Number State | OK
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