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General NPI Number Information
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NPI Number | 1336825629
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Entity Type | Individual
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Provider Name | WILLIAM MUSSLER DPH
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Gender | Male
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 325 S WASHITA ST
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City | WETUMKA
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State | OK
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Zip | 74883-5522
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Country | US
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Telephone | 405-452-1313
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Fax | 405-452-3872
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Provider Business Mailing Address
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Address Line | 325 S WASHITA ST
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City | WETUMKA
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State | OK
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Zip | 74883-5522
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Country | US
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Telephone | 405-452-1313
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 26016221A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 15349
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License Number State | OK
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