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General NPI Number Information
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NPI Number | 1275647513
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Entity Type | Individual
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Provider Name | CANDACE L. STURLIN PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 4400 GRANT BLVD STE 109
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City | YUKON
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State | OK
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Zip | 73099-0038
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Country | US
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Telephone | 405-787-8556
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Fax | 405-787-7424
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Provider Business Mailing Address
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Address Line | PO BOX 1998
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City | OKLAHOMA CITY
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State | OK
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Zip | 73101-1998
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Country | US
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Telephone | 405-842-4850
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Fax | 405-848-2425
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1266
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License Number State | OK
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