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General NPI Number Information
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NPI Number | 1952009169
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Entity Type | Organization
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Legal Business Name | EXCEEDING EXPECTATIONS, LLC
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 07/16/2023
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Provider Practice Location Address
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Address Line | 100 NE 5TH ST STE 119
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-2228
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Country | US
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Telephone | 405-803-8547
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Fax |
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Provider Business Mailing Address
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Address Line | 100 NE 5TH ST # 119
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-2228
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Country | US
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Telephone | 405-803-8547
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | TANYA LATRICE LEE
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Credential | LPC, CMII
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Telephone | 405-803-8547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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