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General NPI Number Information
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NPI Number | 1013578988
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Entity Type | Individual
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Provider Name | SONIA ALLOUCH MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2019
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 5606 SW LEE BLVD STE 206
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City | LAWTON
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State | OK
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Zip | 73505-9651
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Country | US
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Telephone | 580-531-4875
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Fax |
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Provider Business Mailing Address
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Address Line | 5606 SW LEE BLVD STE 206
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City | LAWTON
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State | OK
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Zip | 73505-9651
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Country | US
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Telephone | 580-531-4875
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Fax | 580-531-4848
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 39209
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License Number State | OK
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