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General NPI Number Information
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NPI Number | 1750942074
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Entity Type | Organization
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Legal Business Name | CURRENT INTERVENTION FAMILY THERAPY SERVICES
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 2223 N MAIN ST
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City | MIAMI
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State | OK
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Zip | 74354-1620
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Country | US
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Telephone | 417-439-0949
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Fax |
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Provider Business Mailing Address
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Address Line | 120 N ELM ST
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City | COMMERCE
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State | OK
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Zip | 74339-2008
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Country | US
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Telephone | 417-439-0949
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | DANIEL HARTER
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Credential | MSMFT, LPC
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Telephone | 417-439-0949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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