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General NPI Number Information
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NPI Number | 1073244455
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Entity Type | Individual
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Provider Name | ALEX HELSLEY OD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 471748 E 1140 RD
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City | MULDROW
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State | OK
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Zip | 74948-7594
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Country | US
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Telephone | 918-208-4207
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Fax |
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Provider Business Mailing Address
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Address Line | 471748 E 1140 RD
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City | MULDROW
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State | OK
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Zip | 74948-7594
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Country | US
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Telephone | 918-208-4207
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3172
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2851
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2022024935
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License Number State | MO
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