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General NPI Number Information
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NPI Number | 1013518018
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Entity Type | Individual
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Provider Name | HATTI LOU STEELEY
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Gender | Female
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 1101 W RUTH AVE
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City | SALLISAW
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State | OK
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Zip | 74955-7252
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Country | US
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Telephone | 918-575-9025
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Fax |
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Provider Business Mailing Address
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Address Line | 461258 E 810 RD
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City | STILWELL
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State | OK
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Zip | 74960-4517
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Country | US
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Telephone | 918-575-9025
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13890
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License Number State | OK
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