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General NPI Number Information
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NPI Number | 1073421749
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Entity Type | Individual
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Provider Name | HARLEY COUNTZ DC
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Gender | Female
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 215 W CARL ALBERT PKWY
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City | MCALESTER
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State | OK
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Zip | 74501-4470
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Country | US
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Telephone | 918-505-2962
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Fax | 918-505-2962
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Provider Business Mailing Address
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Address Line | 4964 STATE HIGHWAY 113
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City | MCALESTER
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State | OK
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Zip | 74501-8544
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Country | US
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Telephone | 918-421-9297
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4734
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number | 4734
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License Number State | OK
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