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General NPI Number Information
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NPI Number | 1811397201
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Entity Type | Organization
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Legal Business Name | CANDIDA BARBER, LPC PLLC
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Dates
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Enumeration Date | 09/04/2014
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 1019 WATERWOOD PKWY STE E
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City | EDMOND
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State | OK
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Zip | 73034-5329
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Country | US
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Telephone | 405-255-6748
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Fax |
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Provider Business Mailing Address
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Address Line | 4913 N QUAPAH PL
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-2562
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Country | US
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Telephone | 405-255-6748
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | CANDIDA BARBER
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Credential | LPC
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Telephone | 405-255-6748
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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 | 4529
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License Number State | OK
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