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General NPI Number Information
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NPI Number | 1407901085
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Entity Type | Individual
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Provider Name | PAULA ANN DEUPREE D.O.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13509 N MERIDIAN AVE SUITE 6
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8396
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Country | US
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Telephone | 405-755-2273
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Fax | 405-751-3505
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Provider Business Mailing Address
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Address Line | 13509 N MERIDIAN AVE SUITE 6
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8396
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Country | US
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Telephone | 405-755-2273
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Fax | 405-751-3505
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 4136
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License Number State | OK
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