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General NPI Number Information
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NPI Number | 1902057664
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Entity Type | Individual
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Provider Name | JO L. SOSKE M.ED. M.H.R.
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Gender | Female
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 12/28/2015
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Provider Practice Location Address
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Address Line | 2005 CHURCHILL WAY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-1151
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Country | US
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Telephone | 409-599-4514
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 CHURCHILL WAY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-1151
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Country | US
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Telephone |
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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 | 1181
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License Number State | OK
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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 | 63681
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10650
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License Number State | TX
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