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General NPI Number Information
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NPI Number | 1053266353
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Entity Type | Organization
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Legal Business Name | ARYAN P. KADIVAR, M.D., P.C.
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 256800 HIGHWAY 5
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City | WALTERS
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State | OK
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Zip | 73572-3859
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Country | US
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Telephone | 580-699-7699
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Fax |
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Provider Business Mailing Address
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Address Line | 916 SW 38TH ST STE D
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City | LAWTON
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State | OK
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Zip | 73505-7005
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Country | US
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Telephone | 580-699-7699
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARYAN PARKER KADIVAR
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Credential |
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Telephone | 580-699-7699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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