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General NPI Number Information
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NPI Number | 1073303723
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Entity Type | Organization
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Legal Business Name | THE PERFECT POCKET
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 5232 E 69TH PL
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City | TULSA
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State | OK
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Zip | 74136-3407
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Country | US
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Telephone | 918-727-2289
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Fax | 918-221-7814
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Provider Business Mailing Address
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Address Line | 5232 E 69TH PL
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City | TULSA
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State | OK
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Zip | 74136-3407
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Country | US
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Telephone | 918-727-2289
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Fax | 918-221-7814
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIN PURDY
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Credential |
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Telephone | 918-727-2289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224900000X
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Taxonomy Name | Mastectomy Fitter
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License Number |
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License Number State |
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