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General NPI Number Information
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NPI Number | 1194720359
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Entity Type | Individual
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Provider Name | REBECCA LYNN BARRETT MD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 07/19/2017
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Provider Practice Location Address
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Address Line | 4221 S WESTERN AVE SUITE 3030
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-3447
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Country | US
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Telephone | 405-636-7650
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Fax | 405-636-7743
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Provider Business Mailing Address
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Address Line | 5300 N INDEPENDENCE AVE STE. 280
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-5556
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Country | US
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Telephone | 405-636-7650
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Fax | 405-636-7743
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E0906
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 30461
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License Number State | OK
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