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General NPI Number Information
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NPI Number | 1922159672
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Entity Type | Individual
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Provider Name | KAREN JEAN MOSSHAMMER LPC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 5705 NW 132ND STREET
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City | OKLAHOMA CITY
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State | OK
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Zip | 73142-4437
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Country | US
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Telephone | 405-568-2193
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Fax | 918-382-7302
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Provider Business Mailing Address
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Address Line | 4712 ROSE ROCK DRIVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73111-5405
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Country | US
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Telephone | 405-568-2193
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Fax | 918-307-1520
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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 | 1132
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License Number State | OK
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