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NPI 1780548461

NPI 1780548461 : WARREN CAMERON FIELD III LPC : MOORE, OK

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General NPI Number Information
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    NPI Number           |    1780548461
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    Entity Type          |    Individual 
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    Provider Name        |    WARREN CAMERON FIELD III LPC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/16/2025
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    Last Update Date     |    12/16/2025
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Provider Practice Location Address
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    Address Line         |    620 NW 5TH ST STE D 
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    City                 |    MOORE
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    State                |    OK
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    Zip                  |    73160-3947
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    Country              |    US
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    Telephone            |    405-568-1964
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2429 NW 158TH ST 
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73013-9766
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    Country              |    US
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    Telephone            |    405-568-1964
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    13109
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    License Number State |    OK
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