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NPI 1285626945

NPI 1285626945 : BETH A ALLGOOD CRNA : LAWTON, OK

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General NPI Number Information
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    NPI Number           |    1285626945
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    Entity Type          |    Individual 
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    Provider Name        |    BETH A ALLGOOD CRNA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/18/2005
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    Last Update Date     |    07/13/2026
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Provider Practice Location Address
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    Address Line         |    1003 NW BECONTREE PL 
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    City                 |    LAWTON
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    State                |    OK
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    Zip                  |    73505-4126
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    Country              |    US
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    Telephone            |    580-536-2010
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    Fax                  |    580-536-5773
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Provider Business Mailing Address
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    Address Line         |    PO BOX 6418 
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    City                 |    LAWTON
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    State                |    OK
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    Zip                  |    73506-0418
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    Country              |    US
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    Telephone            |    580-536-2010
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    Fax                  |    580-536-5773
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    R0042455
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    License Number State |    OK
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