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General NPI Number Information
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NPI Number | 1255382941
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Entity Type | Organization
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Legal Business Name | RITA S WESTENHAVER D.O. FAMILY PRACTICE PC
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 62420 E HIGHWAY 137
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City | MIAMI
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State | OK
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Zip | 74354-7474
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Country | US
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Telephone | 918-314-2295
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Fax | 866-659-6935
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Provider Business Mailing Address
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Address Line | 62420 E HIGHWAY 137
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City | MIAMI
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State | OK
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Zip | 74354-7474
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Country | US
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Telephone | 918-314-2295
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Fax | 866-659-6935
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Authorized Official
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Title or Position | PHYSICAIN
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Name | RITA SUE WESTENHAVER
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Credential | D.O.
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Telephone | 918-314-2295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2731
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License Number State | OK
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