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General NPI Number Information
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NPI Number | 1063746832
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Entity Type | Individual
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Provider Name | SHARON HILBURN DEMIER M.A.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 6670 S LEWIS AVE STE 200
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City | TULSA
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State | OK
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Zip | 74136-1035
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Country | US
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Telephone | 918-949-1148
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Fax |
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Provider Business Mailing Address
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Address Line | 8928 E 62ND CIR
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City | TULSA
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State | OK
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Zip | 74133-6357
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Country | US
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Telephone | 918-994-6262
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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 | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number |
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License Number State |
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