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General NPI Number Information
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NPI Number | 1821520867
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Entity Type | Organization
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Legal Business Name | ABENA ASANTI
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 701 SAMMY DAVIS JR DR
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City | LANGSTON
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State | OK
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Zip | 73050-5002
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Country | US
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Telephone | 405-698-0137
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 216
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City | LANGSTON
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State | OK
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Zip | 73050-0216
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Country | US
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Telephone | 405-698-0137
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MS. ABENA JAMILA ASANTI
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Credential |
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Telephone | 405-698-0137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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