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General NPI Number Information
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NPI Number | 1407069982
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Entity Type | Individual
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Provider Name | ROBBIE J CALLINS JR. LPN
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1215 N W 25 STREET
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106
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Country | US
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Telephone | 405-525-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 6543 LYREWOOD LN
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City | OKLAHOMA CITY
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State | OK
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Zip | 73132-7004
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Country | US
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Telephone | 405-722-8662
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LOO21115
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License Number State | OK
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