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General NPI Number Information
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NPI Number | 1437480100
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Entity Type | Individual
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Provider Name | CHELSEA CHURCH PHARMD
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Gender | Female
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 01/20/2010
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Provider Practice Location Address
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Address Line | 1000 N. LEE ST. ANTHONY HOSPITAL
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City | OKLAHOMA CITY
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State | OK
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Zip | 73101
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Country | US
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Telephone | 405-272-7232
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Fax | 405-601-1201
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Provider Business Mailing Address
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Address Line | 1111 N. LEE, STE 241 SWOSU DEPT. OF PHARM PRACTICE, PASTEUR MEDICAL BLDG
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103
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Country | US
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Telephone | 405-272-7232
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Fax | 405-601-1201
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 12341
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License Number State | OK
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