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General NPI Number Information
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NPI Number | 1831301746
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Entity Type | Organization
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Legal Business Name | CHILD ABUSE RESPONSE AND EVALUATION, INC.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1403 ASHTON PL.
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City | OKLAHOMA CITY
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State | OK
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Zip | 73101-1125
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Country | US
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Telephone | 405-236-2100
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Fax | 405-236-4046
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Provider Business Mailing Address
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Address Line | P.O. BOX 1125
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City | OKLAHOMA CITY
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State | OK
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Zip | 73101-1125
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Country | US
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Telephone | 405-236-2100
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Fax | 405-236-4046
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DAVID HOOTEN
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Credential |
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Telephone | 405-236-2100
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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 | 2247
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License Number State | OK
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