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General NPI Number Information
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NPI Number | 1962182709
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Entity Type | Organization
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Legal Business Name | BEE LYNE MENTAL HEALTH
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 425 S FRETZ AVE STE C
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City | EDMOND
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State | OK
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Zip | 73003-5568
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Country | US
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Telephone | 405-696-8041
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 ARAPAHO RD
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City | EDMOND
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State | OK
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Zip | 73013-6835
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Country | US
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Telephone | 405-696-8041
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Fax |
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Authorized Official
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Title or Position | CEO/THERAPIST
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Name | MS. DEBORAH SUZANNE LYNE
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Credential | LPC
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Telephone | 405-696-8041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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