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General NPI Number Information
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NPI Number | 1942781331
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Entity Type | Individual
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Provider Name | ELAINE LUPE DEMKE M.S., LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 1900 NW EXPRESSWAY STE 450
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-1849
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Country | US
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Telephone | 405-604-7982
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Fax | 405-849-9164
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Provider Business Mailing Address
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Address Line | 2039 NW 19TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-1605
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Country | US
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Telephone | 405-210-2031
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | OK
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