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General NPI Number Information
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NPI Number | 1831365683
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Entity Type | Organization
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Legal Business Name | POSITIVE PARADIGMS, INC.
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 18735 NE 23RD ST STE E
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City | HARRAH
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State | OK
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Zip | 73045-8130
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Country | US
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Telephone | 405-454-2121
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Fax | 405-454-2121
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Provider Business Mailing Address
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Address Line | 18735 NE 23RD ST STE E
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City | HARRAH
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State | OK
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Zip | 73045-8130
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Country | US
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Telephone | 405-454-2121
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Fax | 405-454-2121
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Authorized Official
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Title or Position | M.ED., L.P.C.
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Name | REBECCA D. WEBSTER
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Credential |
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Telephone | 405-454-2121
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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 | 3796
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License Number State | OK
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