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General NPI Number Information
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NPI Number | 1346661311
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Entity Type | Individual
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Provider Name | STEPHANIE MCCARTY BROWN DDS
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Gender | Female
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 3920 E 91ST ST
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City | TULSA
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State | OK
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Zip | 74137-3602
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Country | US
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Telephone | 918-496-2481
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Fax |
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Provider Business Mailing Address
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Address Line | 8204 N 72ND EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-5520
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Country | US
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Telephone | 580-276-0381
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 29203
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 127
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License Number State | OK
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