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General NPI Number Information
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NPI Number | 1275813974
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Entity Type | Organization
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Legal Business Name | AUDRA SCEARCE DO PLLC
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Dates
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Enumeration Date | 08/25/2011
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 3548 WELLSITE DR
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City | NORMAN
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State | OK
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Zip | 73069-8221
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Country | US
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Telephone | 406-366-6050
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Fax | 405-366-3110
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Provider Business Mailing Address
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Address Line | 3548 WELLSITE DR
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City | NORMAN
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State | OK
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Zip | 73069-8221
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Country | US
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Telephone | 405-366-6050
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Fax | 405-366-3110
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Authorized Official
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Title or Position | OWNER
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Name | DR. AUDRA C SCEARCE
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Credential | DO
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Telephone | 405-366-6050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 3696
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License Number State | OK
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