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NPI Code Detail

MEDICARE: GIORGIO DURHAM

MEDICARE:   GIORGIO  DURHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor7210OK
2101YP2500XProfessional Counselor96360TX

General Provider Information

NPI Number : 1043550528
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIORGIO DURHAM
Provider Business Mailing Address
First Line : 244 NW 84TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-3435
Country : US
Telephone Number : 405-464-3928
Fax Number :
Provider Business Practice Location Address
First Line : 244 NW 84TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-3435
Country : US
Telephone Number : 405-464-3928
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2013
Last Update Date : 03/09/2026

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Directions to “ GIORGIO DURHAM ” Practice Location

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