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General NPI Number Information
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NPI Number | 1386103083
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Entity Type | Individual
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Provider Name | DANA WALKER BERRYHILL DPH
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Gender | Female
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Dates
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Enumeration Date | 03/13/2019
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 1407 WHISENANT DR PHARMACY DEPT
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City | DUNCAN
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State | OK
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Zip | 73533
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Country | US
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Telephone | 580-251-8784
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 908
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City | DUNCAN
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State | OK
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Zip | 73534-0908
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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 | 11048
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License Number State | OK
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