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General NPI Number Information
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NPI Number | 1053004762
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Entity Type | Individual
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Provider Name | DARREN ABSHIRE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 5602 SW LEE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-9699
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Country | US
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Telephone | 580-531-4714
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Fax |
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Provider Business Mailing Address
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Address Line | 7525 N BASS DR
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City | MARLOW
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State | OK
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Zip | 73055-7502
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Country | US
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Telephone | 580-591-3523
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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 | 13256
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License Number State | OK
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