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General NPI Number Information
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NPI Number | 1841375821
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Entity Type | Individual
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Provider Name | CHARLES S ECKELT SR. LPC, NCC
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Gender | Male
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 6440 S LEWIS AVE STE 2200
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City | TULSA
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State | OK
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Zip | 74136-1060
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Country | US
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Telephone | 918-712-0859
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Fax | 918-388-6456
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Provider Business Mailing Address
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Address Line | 3539 S TOLEDO AVE
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City | TULSA
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State | OK
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Zip | 74135-1728
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Country | US
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Telephone | 918-749-5343
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Fax | 918-749-5343
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1547
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License Number State | OK
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