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General NPI Number Information
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NPI Number | 1851811723
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Entity Type | Individual
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Provider Name | ASHLEY NICOLE COVEL
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 12005 E 470 RD
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City | CLAREMORE
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State | OK
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Zip | 74017-3737
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Country | US
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Telephone | 918-342-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 8252 S HARVARD AVE STE 151
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City | TULSA
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State | OK
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Zip | 74137-1646
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Country | US
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Telephone | 918-419-0619
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-23-259822
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License Number State | OK
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