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General NPI Number Information
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NPI Number | 1851641070
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Entity Type | Individual
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Provider Name | MR. DONTA J. STEPENY
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Gender | Male
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 1212 S AIR DEPOT BLVD 19 B
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City | MIDWEST CITY
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State | OK
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Zip | 73110-4870
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Country | US
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Telephone | 405-455-7244
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Fax | 405-455-7292
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Provider Business Mailing Address
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Address Line | 606 REV J A REED JR AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73117
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Country | US
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Telephone | 405-532-4458
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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 |
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License Number State | OK
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