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General NPI Number Information
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NPI Number | 1174596100
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Entity Type | Individual
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Provider Name | JAEMIE ANN ARMIGER PA
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Gender | Female
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 4103 S YALE AVE STE C
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City | TULSA
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State | OK
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Zip | 74135-6002
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Country | US
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Telephone | 918-495-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 700 W JUNEAU ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-0767
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Country | US
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Telephone | 918-813-1351
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 842
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License Number State | OK
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