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General NPI Number Information
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NPI Number | 1235016643
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Entity Type | Individual
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Provider Name | MRS. SAMANTHA RAY LITTLEJOHN
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 500 CHINCAPIN P.O. BOX 410
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City | WESTVILLE
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State | OK
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Zip | 74965
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Country | US
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Telephone | 918-723-3181
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Fax | 918-723-4581
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Provider Business Mailing Address
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Address Line | 500 CHINCAPIN P.O. BOX 410
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City | WESTVILLE
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State | OK
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Zip | 74965
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Country | US
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Telephone | 918-723-3181
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Fax | 918-723-4581
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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