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General NPI Number Information
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NPI Number | 1912617267
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Entity Type | Individual
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Provider Name | MORNINGSTAR M SEGER BHCMI
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Gender | Male
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 909 ALAMEDA ST
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City | NORMAN
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State | OK
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Zip | 73071-5229
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Country | US
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Telephone | 405-360-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 NE 24TH ST
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City | MOORE
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State | OK
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Zip | 73160-8916
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Country | US
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Telephone | 405-634-4400
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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 | 174400000X
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Taxonomy Name | Specialist
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 320482
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License Number State | OK
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