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NPI 1366259871

NPI 1366259871 : JARED SCHAEFER PHARM.D., BCPS : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1366259871
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    Entity Type          |    Individual 
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    Provider Name        |    JARED SCHAEFER PHARM.D., BCPS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/17/2024
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    Last Update Date     |    12/17/2024
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Provider Practice Location Address
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    Address Line         |    3400 NW EXPRESSWAY STE 700 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73112-4492
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    Country              |    US
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    Telephone            |    405-949-3816
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3400 NW EXPRESSWAY STE 700 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73112-4492
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    Country              |    US
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    Telephone            |    405-949-3816
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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        |    1835S0206X
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    Taxonomy Name        |    Solid Organ Transplant Pharmacist
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    License Number       |    15782
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    License Number State |    OK
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