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General NPI Number Information
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NPI Number | 1124235809
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Entity Type | Individual
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Provider Name | LINDA C BYRD ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 1808 S HICKORY ST
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City | SAPULPA
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State | OK
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Zip | 74066-6219
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Country | US
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Telephone | 918-224-5531
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Fax | 918-224-1739
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Provider Business Mailing Address
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Address Line | PO BOX 956
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City | BRISTOW
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State | OK
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Zip | 74010-0956
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Country | US
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Telephone | 918-367-1412
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Fax | 918-367-1412
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | R0026418
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License Number State | OK
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