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General NPI Number Information
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NPI Number | 1770470940
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Entity Type | Individual
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Provider Name | LANEY HAWK
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Gender | Female
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 10620 E 27TH ST
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City | TULSA
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State | OK
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Zip | 74129-7529
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Country | US
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Telephone | 918-925-1460
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Fax |
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Provider Business Mailing Address
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Address Line | 3708 BROWERS AVE
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City | SAND SPRINGS
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State | OK
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Zip | 74063-2841
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Country | US
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Telephone | 479-275-9293
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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