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General NPI Number Information
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NPI Number | 1841410776
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Entity Type | Organization
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Legal Business Name | GOOD LIFE ENTERPRISES, INC.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 33708 POST OFFICE NCK
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City | SHAWNEE
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State | OK
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Zip | 74801-3407
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Country | US
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Telephone | 405-474-3782
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Fax | 888-570-2459
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Provider Business Mailing Address
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Address Line | 33708 POST OFFICE NCK
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City | SHAWNEE
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State | OK
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Zip | 74801-3407
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Country | US
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Telephone | 405-474-3782
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Fax | 888-570-2459
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | REBEKAH LYNN WAHKINNEY
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Credential |
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Telephone | 405-474-3782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 952
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License Number State | OK
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