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General NPI Number Information
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NPI Number | 1841505740
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Entity Type | Individual
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Provider Name | MOLLY ROSS FUHRMAN M.A., L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 225 LILAC DR # 250
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City | EDMOND
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State | OK
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Zip | 73034-7285
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Country | US
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Telephone | 405-310-3262
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Fax |
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Provider Business Mailing Address
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Address Line | 1521 WESTCHESTER DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-1307
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Country | US
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Telephone | 405-740-7705
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 04183
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License Number State | OK
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