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General NPI Number Information
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NPI Number | 1780890103
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Entity Type | Individual
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Provider Name | KAMI LYN GALLUS PH.D., LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 233 HES CENTER FOR FAMILY SERVICES
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City | STILLWATER
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State | OK
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Zip | 74078-6120
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Country | US
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Telephone | 405-744-8351
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Fax | 405-744-2800
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Provider Business Mailing Address
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Address Line | 233 NANCY RANDOLPH DAVIS OKLAHOMA STATE UNIVERSITY
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City | STILLWATER
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State | OK
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Zip | 74078-6120
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Country | US
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Telephone | 405-744-8351
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Fax | 405-744-2800
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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 | 920
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License Number State | OK
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