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General NPI Number Information
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NPI Number | 1750677746
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Entity Type | Organization
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Legal Business Name | DELIA THERAPY AND COUNSELING
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 202 E CHEROKEE AVE
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City | SALLISAW
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State | OK
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Zip | 74955-4600
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Country | US
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Telephone | 918-790-2890
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Fax | 918-790-2906
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Provider Business Mailing Address
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Address Line | 202 EAST CHEROKEE ST
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City | SALLISAW
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State | OK
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Zip | 74955
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Country | US
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Telephone | 918-790-2890
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Fax | 918-790-2906
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Authorized Official
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Title or Position | OWER/MEDICAL DIRECTOR
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Name | DR. STEVEN W DELIA
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Credential | M.D.
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Telephone | 918-790-2890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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