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General NPI Number Information
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NPI Number | 1407456874
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Entity Type | Individual
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Provider Name | RACHEL WAGNON PHARM. D
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Gender | Female
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 1001 E MAIN ST
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City | YUKON
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State | OK
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Zip | 73099-2137
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Country | US
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Telephone | 405-577-0051
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Fax | 405-577-0053
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Provider Business Mailing Address
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Address Line | 1001 E MAIN ST
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City | YUKON
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State | OK
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Zip | 73099-2137
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Country | US
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Telephone | 405-577-0051
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Fax | 405-577-0053
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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 | 14963
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License Number State | OK
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