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General NPI Number Information
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NPI Number | 1992039341
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Entity Type | Individual
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Provider Name | BENJAMIN OKAI LPC
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Gender | Male
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 210 THIRD ST
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City | NEWPORT
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State | AR
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Zip | 72112-3302
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Country | US
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Telephone | 501-303-1655
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Fax | 501-303-1653
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Provider Business Mailing Address
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Address Line | 3128 STONEHENGE DR
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City | SEARCY
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State | AR
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Zip | 72143-9588
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Country | US
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Telephone | 501-593-0639
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A09034050
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P1201006
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License Number State | AR
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