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General NPI Number Information
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NPI Number | 1265050447
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Entity Type | Individual
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Provider Name | BRIDGET FURLONG M.S., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/14/2020
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 200 NW 66TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-8256
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Country | US
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Telephone | 405-840-1957
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Fax |
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Provider Business Mailing Address
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Address Line | 617 DARDANELLE PASS
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City | EDMOND
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State | OK
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Zip | 73025-9741
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Country | US
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Telephone | 816-812-2211
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 5646
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License Number State | OK
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