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General NPI Number Information
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NPI Number | 1841541604
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Entity Type | Individual
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Provider Name | MARILYN JEAN DUPLISSEY
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Gender | Female
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 09/19/2012
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Provider Practice Location Address
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Address Line | 23077 SHADE TREE LN
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City | POTEAU
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State | OK
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Zip | 74953-8101
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Country | US
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Telephone | 918-413-2040
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Fax | 918-647-2191
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Provider Business Mailing Address
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Address Line | 23077 SHADE TREE LN
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City | POTEAU
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State | OK
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Zip | 74953-8101
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Country | US
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Telephone | 918-413-2040
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Fax | 918-647-2191
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | OK
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