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General NPI Number Information
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NPI Number | 1245433895
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Entity Type | Individual
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Provider Name | MARIE LINDSAY PARDUE BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 104 N 4TH ST
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City | HUGO
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State | OK
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Zip | 74743-4003
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Country | US
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Telephone | 580-326-7531
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Fax | 580-326-2377
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Provider Business Mailing Address
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Address Line | PO BOX 271
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City | BOSWELL
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State | OK
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Zip | 74727-0271
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Country | US
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Telephone | 580-566-1271
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | R0083092
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License Number State | OK
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