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General NPI Number Information
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NPI Number | 1790566826
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Entity Type | Individual
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Provider Name | DANA LOVICK
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Gender | Female
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Dates
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Enumeration Date | 10/13/2023
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 4731 JUDY DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73115-3815
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Country | US
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Telephone | 405-856-4217
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Fax |
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Provider Business Mailing Address
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Address Line | 11805 BLUE BELL AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-1071
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Country | US
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Telephone | 405-206-2943
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2694
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License Number State | OK
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