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General NPI Number Information
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NPI Number | 1891205738
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Entity Type | Individual
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Provider Name | MRS. CRYSTAL L ABRAM-GARCIA
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Gender | Female
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Dates
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Enumeration Date | 10/05/2017
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Last Update Date | 04/08/2022
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Provider Practice Location Address
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Address Line | 3909 SE 29TH ST STE 160
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City | OKLAHOMA CITY
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State | OK
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Zip | 73115-2616
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Country | US
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Telephone | 405-422-0029
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Fax | 405-592-8575
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Provider Business Mailing Address
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Address Line | 128 W I 240 SERVICE RD # 1053
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-8031
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Country | US
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Telephone | 405-422-0029
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Fax | 405-592-8575
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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 | 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 #2
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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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