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General NPI Number Information
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NPI Number | 1073376745
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Entity Type | Individual
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Provider Name | MADISON SITTON
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Gender | Female
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 2250 N AIRPORT RD
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City | WEATHERFORD
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State | OK
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Zip | 73096-3351
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Country | US
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Telephone | 405-424-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 14145 S ROBIN NEST
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City | CHOCTAW
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State | OK
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Zip | 73020-7025
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 214107
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License Number State | OK
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