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General NPI Number Information
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NPI Number | 1831894187
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Entity Type | Individual
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Provider Name | AUDREY LENTZ
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Gender | Female
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 06/22/2025
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Provider Practice Location Address
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Address Line | 12220 N MACARTHUR BLVD STE F18
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-1850
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Country | US
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Telephone | 832-330-6506
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Fax |
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Provider Business Mailing Address
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Address Line | 12220 N MACARTHUR BLVD STE F18
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-1850
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 11583
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License Number State | OK
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