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General NPI Number Information
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NPI Number | 1215626924
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Entity Type | Individual
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Provider Name | CYNTHIA DAVIS OTR/L
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Gender | Female
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 401 S COLTRANE RD STE 260
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City | EDMOND
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State | OK
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Zip | 73034-6722
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Country | US
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Telephone | 580-318-9415
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Fax |
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Provider Business Mailing Address
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Address Line | 107 MARY JANE LN
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City | WEATHERFORD
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State | OK
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Zip | 73096-9355
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Country | US
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Telephone | 405-664-6868
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1624
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License Number State | OK
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