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General NPI Number Information
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NPI Number | 1972461150
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Entity Type | Individual
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Provider Name | UKO TYRAWN OKON
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Gender | Male
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 2330 W UNIVERSITY DR STE 5
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City | TEMPE
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State | AZ
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Zip | 85281-7294
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Country | US
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Telephone | 602-670-1031
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Fax |
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Provider Business Mailing Address
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Address Line | 6524 N 79TH LN
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City | GLENDALE
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State | AZ
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Zip | 85303-3241
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Country | US
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Telephone | 480-274-7441
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMSW22888
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License Number State | AZ
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