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General NPI Number Information
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NPI Number | 1336260652
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Entity Type | Individual
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Provider Name | DELANA DENISE WESTMAN PHYSICAL THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 31870 E HWY 51
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City | COWETA
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State | OK
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Zip | 74429-7900
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Country | US
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Telephone | 918-279-3450
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Fax | 918-279-1105
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Provider Business Mailing Address
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Address Line | 508 S 29TH ST
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City | BROKEN ARROW
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State | OK
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Zip | 74014-2379
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Country | US
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Telephone | 918-279-3452
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Fax | 918-279-1105
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3031
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License Number State | OK
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