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General NPI Number Information
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NPI Number | 1346041621
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Entity Type | Organization
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Legal Business Name | SM BURKHART, PLLC
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 35988 S HIGHWAY 82 UNIT B
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City | VINITA
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State | OK
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Zip | 74301-6747
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Country | US
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Telephone | 918-639-7692
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Fax |
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Provider Business Mailing Address
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Address Line | 32205 S 4531 RD
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City | AFTON
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State | OK
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Zip | 74331-5546
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Country | US
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Telephone | 918-639-7692
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAUNYA M BURKHART
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Credential | OD
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Telephone | 918-639-7692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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