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General NPI Number Information
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NPI Number | 1821127325
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH ASSOCIATION IN TULSA, INC.
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 1870 S BOULDER AVE
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City | TULSA
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State | OK
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Zip | 74119-5234
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Country | US
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Telephone | 918-585-1213
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Fax | 918-585-1263
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Provider Business Mailing Address
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Address Line | 1870 S BOULDER AVE
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City | TULSA
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State | OK
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Zip | 74119-5234
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Country | US
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Telephone | 918-585-1213
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Fax | 918-585-1263
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Authorized Official
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Title or Position | CONTROLLER
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Name | MRS. SUE A HORETH
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Credential |
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Telephone | 918-382-2414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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