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General NPI Number Information
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NPI Number | 1407866940
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Entity Type | Individual
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Provider Name | RABIYYAH H. HAZZIEZ D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 320 N 4TH AVE
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City | STROUD
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State | OK
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Zip | 74079-3641
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Country | US
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Telephone | 918-968-2656
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Fax | 918-968-2659
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Provider Business Mailing Address
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Address Line | 7237 S 92ND EAST AVE APT 6
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City | TULSA
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State | OK
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Zip | 74133-4705
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Country | US
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Telephone | 918-249-8080
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3769
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License Number State | OK
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