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NPI 1356216816

NPI 1356216816 : ALISSA VOLCIK : PURCELL, OK

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General NPI Number Information
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    NPI Number           |    1356216816
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    Entity Type          |    Individual 
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    Provider Name        |    ALISSA VOLCIK
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/06/2025
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    Last Update Date     |    10/06/2025
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Provider Practice Location Address
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    Address Line         |    2015 S GREEN AVE 
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    City                 |    PURCELL
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    State                |    OK
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    Zip                  |    73080-6200
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    Country              |    US
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    Telephone            |    405-527-7396
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2207 WHEATON DR 
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73071-7320
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    Country              |    US
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    Telephone            |    
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    21108
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    License Number State |    OK
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