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General NPI Number Information
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NPI Number | 1912406968
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Entity Type | Individual
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Provider Name | CHAUNCEY MICHAEL MURCH III LPC, NCC, BC-TMH
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Gender | Male
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 5350 S WESTERN AVE STE 708
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-4537
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Country | US
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Telephone | 918-212-6333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5683
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City | NORMAN
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State | OK
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Zip | 73070-5683
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Country | US
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Telephone | 918-212-6333
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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 | LPC07302
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License Number State | OK
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