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General NPI Number Information
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NPI Number | 1932319811
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Entity Type | Individual
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Provider Name | AMANDA DIANE HARRINGTON LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 1438 HARDCASTLE BLVD. MEDICAL FAMILY THERAPY
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City | PURCELL
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State | OK
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Zip | 73080
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Country | US
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Telephone | 405-527-4700
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Fax |
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Provider Business Mailing Address
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Address Line | CHICKASAW NATION MEDICAL CENTER 1921 STONECIPHER BLVD.
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City | ADA
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State | OK
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Zip | 74820
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Country | US
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Telephone | 580-436-3980
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Fax | 580-272-5757
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 201101
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1052
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License Number State | OK
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