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NPI Code Detail

MEDICARE: PLEASURE DOTSON

MEDICARE: PLEASURE DOTSON
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1962768150
Entity Type Code : Individual
Provider Name (Legal Business Name) : PLEASURE DOTSON
Provider Business Mailing Address
First Line : 240 E APACHE ST
Second Line :
City : TULSA
State : OK
Zip : 74106-3702
Country : US
Telephone Number : 918-794-0197
Fax Number :
Provider Business Practice Location Address
First Line : 2625 N PEORIA AVE
Second Line :
City : TULSA
State : OK
Zip : 74106-2512
Country : US
Telephone Number : 918-794-0197
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2012
Last Update Date : 06/28/2019

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Directions to “ PLEASURE DOTSON ” Practice Location

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