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General NPI Number Information
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NPI Number | 1770227753
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Entity Type | Organization
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Legal Business Name | BRENT FERRIS LLC
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 12220 N MACARTHUR BLVD STE F9
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-1850
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Country | US
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Telephone | 405-821-4929
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Fax | 405-242-3481
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Provider Business Mailing Address
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Address Line | 12220 N MACARTHUR BLVD STE F9
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-1850
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Country | US
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Telephone | 405-821-4929
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Fax | 405-242-3481
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Authorized Official
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Title or Position | THERAPIST
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Name | MR. BRENT FERRIS
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Credential | LMFT
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Telephone | 405-821-4929
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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 |
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License Number State |
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