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NPI 1073376604

NPI 1073376604 : GARRISON EXEMPLAR COMPANY : LAWTON, OK

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General NPI Number Information
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    NPI Number           |    1073376604
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    Entity Type          |    Organization 
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    Legal Business Name  |    GARRISON EXEMPLAR COMPANY 
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Dates
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    Enumeration Date     |    02/05/2024
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    3414 NW CACHE RD STE F 
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    City                 |    LAWTON
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    State                |    OK
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    Zip                  |    73505-3878
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    Country              |    US
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    Telephone            |    580-265-8871
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    Fax                  |    580-265-8849
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Provider Business Mailing Address
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    Address Line         |    3414 NW CACHE RD STE F 
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    City                 |    LAWTON
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    State                |    OK
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    Zip                  |    73505-3878
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    Country              |    US
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    Telephone            |    580-265-8871
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHYSICIAN/OWNER
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    Name                 |    DR. DANIEL  GARRISON 
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    Credential           |    DO
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    Telephone            |    405-517-6539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QC1500X
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    Taxonomy Name        |    Community Health Clinic/Center
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    License Number       |    
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    License Number State |    
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