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General NPI Number Information
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NPI Number | 1477172179
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Entity Type | Individual
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Provider Name | JAMES MORGAN ELY PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 100 E I 240 SERVICE RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73149-1612
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Country | US
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Telephone | 405-631-2207
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Fax | 405-631-2230
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Provider Business Mailing Address
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Address Line | 125 SW 174TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73170-9203
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Country | US
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Telephone | 405-207-7729
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 16781
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License Number State | OK
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