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General NPI Number Information
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NPI Number | 1295414878
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Entity Type | Individual
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Provider Name | SARAH EL-KOUBYSI
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Gender | Female
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 535 NW 9TH ST STE 205
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1077
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Country | US
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Telephone | 405-772-4448
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Fax |
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Provider Business Mailing Address
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Address Line | 444 N CENTRAL AVE APT 104
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-4013
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Country | US
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Telephone | 785-249-1597
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19800
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License Number State | OK
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