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General NPI Number Information
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NPI Number | 1316148687
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Entity Type | Organization
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Legal Business Name | CHRIS L. STURCH, M.D., INC.
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 1727 CHUCKWA DR SUITE 400
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City | DURANT
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State | OK
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Zip | 74701-2151
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Country | US
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Telephone | 580-924-8100
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Fax | 580-924-8105
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Provider Business Mailing Address
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Address Line | 1727 CHUCKWA DR SUITE 400
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City | DURANT
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State | OK
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Zip | 74701-2151
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Country | US
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Telephone | 580-924-8100
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Fax | 580-924-8105
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CHRIS L STURCH
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Credential | M.D.
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Telephone | 580-924-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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