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General NPI Number Information
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NPI Number | 1427063247
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Entity Type | Individual
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Provider Name | MISTY DAWN SHELDON DDS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2510 E INDEPENDENCE ST #600
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City | SHAWNEE
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State | OK
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Zip | 74804-1839
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Country | US
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Telephone | 405-273-2002
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Fax | 405-273-0087
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Provider Business Mailing Address
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Address Line | 2510 E INDEPENDENCE ST #600
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City | SHAWNEE
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State | OK
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Zip | 74804-1839
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Country | US
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Telephone | 405-273-2002
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Fax | 405-273-0087
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5495
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License Number State | OK
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