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General NPI Number Information
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NPI Number | 1164889903
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Entity Type | Organization
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Legal Business Name | AMANDA WARD, DDS, PLLC
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 1001 24TH AVE NW
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City | NORMAN
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State | OK
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Zip | 73069-6365
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Country | US
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Telephone | 405-360-5233
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 24TH AVE NW
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City | NORMAN
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State | OK
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Zip | 73069-6365
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Country | US
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Telephone | 405-360-5233
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC DENTIST
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Name | AMANDA WARD
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Credential |
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Telephone | 405-740-3757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 5974
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License Number State | OK
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