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General NPI Number Information
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NPI Number | 1235085705
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Entity Type | Individual
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Provider Name | KYM ROBERTS-HARDESTY C. AC.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2026
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 1725 WATER TOWER RD
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City | SAND SPRINGS
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State | OK
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Zip | 74063-6320
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Country | US
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Telephone | 918-245-0406
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Fax |
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Provider Business Mailing Address
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Address Line | 32 N WATER ST
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City | SAPULPA
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State | OK
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Zip | 74066-2816
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Country | US
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Telephone | 918-245-0406
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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 | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | 7364
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 7364
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License Number State | OK
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