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General NPI Number Information
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NPI Number | 1760225833
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Entity Type | Individual
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Provider Name | EUNICE WAMUYU MENJA LMFT-C
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Gender | Female
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 9212 N KELLEY AVE STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73131-2419
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Country | US
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Telephone | 405-242-5070
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Fax |
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Provider Business Mailing Address
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Address Line | 19452 CURRANT DR
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City | EDMOND
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State | OK
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Zip | 73012-3498
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Country | US
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Telephone | 405-408-8868
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFTCANDIDATE12226
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License Number State | OK
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