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General NPI Number Information
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NPI Number | 1740917608
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Entity Type | Individual
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Provider Name | ELIZABETH CLAIRE PICKENS RBT, LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/02/2022
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 7530 NW 23RD ST
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City | BETHANY
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State | OK
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Zip | 73008-4921
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Country | US
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Telephone | 405-837-1003
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Fax |
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Provider Business Mailing Address
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Address Line | 11601 BELLHURST AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-1146
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Country | US
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Telephone | 405-420-8408
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 21715
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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