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General NPI Number Information
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NPI Number | 1487570388
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Entity Type | Individual
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Provider Name | MRS. SPENCER FEHRLE
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Gender | Female
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 744 W 9TH ST
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City | TULSA
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State | OK
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Zip | 74127-9020
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Country | US
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Telephone | 918-932-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 23021 E 102ND PL S
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City | BROKEN ARROW
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State | OK
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Zip | 74014-2444
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Country | US
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Telephone | 918-998-3616
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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 | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 4923
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License Number State | OK
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