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General NPI Number Information
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NPI Number | 1982160461
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Entity Type | Individual
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Provider Name | KARLIE ANN COLLINS LPC-C
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Gender | Female
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 10109 E 79TH ST
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City | TULSA
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State | OK
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Zip | 74133-4564
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Country | US
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Telephone | 918-286-5126
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Fax |
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Provider Business Mailing Address
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Address Line | 12717 N 124TH EAST AVE
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City | COLLINSVILLE
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State | OK
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Zip | 74021-7190
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Country | US
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Telephone | 918-803-6784
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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 |
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License Number State |
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