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General NPI Number Information
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NPI Number | 1811134349
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Entity Type | Individual
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Provider Name | JAMIE M BULL LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 5310 E 31ST ST
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City | TULSA
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State | OK
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Zip | 74135-5012
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Country | US
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Telephone | 918-600-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 7909 S ELDER AVE
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City | BROKEN ARROW
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State | OK
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Zip | 74011-8273
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Country | US
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Telephone | 509-760-1185
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 11642
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LF60059059
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License Number State | WA
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