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General NPI Number Information
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NPI Number | 1780965194
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Entity Type | Organization
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Legal Business Name | ACTION CONCEPTS, INC
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 06/21/2016
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Provider Practice Location Address
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Address Line | 6003 N ROBINSON AVE SUITE 104
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-7425
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Country | US
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Telephone | 405-464-5620
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Fax |
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Provider Business Mailing Address
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Address Line | 11308 CEDAR RIDGE RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-3432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ERIC SANDERSON
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Credential |
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Telephone | 405-464-5620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 4028
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License Number State | OK
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