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General NPI Number Information
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NPI Number | 1891961132
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Entity Type | Individual
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Provider Name | MR. SCOTT MATTHEW MARTINSON
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Gender | Male
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 900 E MAIN ST BLDG 52
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City | NORMAN
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State | OK
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Zip | 73071-5305
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Country | US
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Telephone | 405-573-6463
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Fax | 405-573-6472
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Provider Business Mailing Address
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Address Line | 827 N BERRY RD
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City | NORMAN
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State | OK
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Zip | 73069-7545
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Country | US
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Telephone | 405-292-1747
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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 |
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License Number State |
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