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General NPI Number Information
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NPI Number | 1346480068
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Entity Type | Organization
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Legal Business Name | HEALTHCARE FOR HER
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Dates
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Enumeration Date | 02/21/2009
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Last Update Date | 02/21/2009
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Provider Practice Location Address
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Address Line | 3000 S BERRY RD STE 100
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City | NORMAN
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State | OK
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Zip | 73072-7472
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Country | US
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Telephone | 405-928-2009
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Fax | 405-928-2114
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Provider Business Mailing Address
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Address Line | 3000 S BERRY RD STE 100
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City | NORMAN
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State | OK
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Zip | 73072-7472
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Country | US
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Telephone | 405-928-2009
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Fax | 405-928-2114
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Authorized Official
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Title or Position | OWNER
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Name | AMY L GREGORY
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Credential | DO
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Telephone | 405-928-2009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4078
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License Number State | OK
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