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General NPI Number Information
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NPI Number | 1114241197
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Entity Type | Individual
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Provider Name | HEATHER DAWN DUNCAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2010
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Last Update Date | 03/20/2010
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Provider Practice Location Address
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Address Line | 10131 E 21ST ST
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City | TULSA
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State | OK
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Zip | 74129-1601
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Country | US
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Telephone | 918-664-9972
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Fax | 918-663-3508
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Provider Business Mailing Address
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Address Line | 3605 W GOLDEN ROD
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City | SKIATOOK
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State | OK
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Zip | 74070-4308
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Country | US
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Telephone | 918-906-8861
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14446
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License Number State | OK
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