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General NPI Number Information
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NPI Number | 1063008258
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Entity Type | Individual
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Provider Name | DR. ASHLEY BETH FERRELL
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Gender | Female
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Dates
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Enumeration Date | 12/12/2020
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Last Update Date | 12/12/2020
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Provider Practice Location Address
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Address Line | 9411 S DELAWARE AVE
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City | TULSA
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State | OK
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Zip | 74137-5614
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Country | US
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Telephone | 918-299-5764
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Fax |
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Provider Business Mailing Address
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Address Line | 10485 E 124TH PL S
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City | BIXBY
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State | OK
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Zip | 74008-3486
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Country | US
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Telephone | 918-978-6922
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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 | 13312
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License Number State | OK
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