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NPI 1922497197

NPI 1922497197 : SARAH DRUZBICKI : MOORE, OK

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General NPI Number Information
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    NPI Number           |    1922497197
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH DRUZBICKI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/12/2015
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    Last Update Date     |    01/12/2015
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Provider Practice Location Address
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    Address Line         |    1533 SE 7TH ST 
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    City                 |    MOORE
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    State                |    OK
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    Zip                  |    73160-8243
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    Country              |    US
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    Telephone            |    405-549-2455
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1533 SE 7TH ST 
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    City                 |    MOORE
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    State                |    OK
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    Zip                  |    73160-8243
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    Country              |    US
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    Telephone            |    405-549-2455
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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