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General NPI Number Information
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NPI Number | 1780984104
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Entity Type | Individual
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Provider Name | SONYA DIANE TORBERT PHD, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 111 W DELAWARE AVE
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City | NOWATA
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State | OK
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Zip | 74048
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Country | US
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Telephone | 918-418-3068
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Fax |
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Provider Business Mailing Address
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Address Line | 111 W DELAWARE AVE
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City | NOWATA
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State | OK
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Zip | 74048-2616
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Country | US
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Telephone | 918-418-3068
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 6808
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License Number State | OK
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