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General NPI Number Information
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NPI Number | 1487942769
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Entity Type | Individual
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Provider Name | STEPHANIE ANN CLAWSON M.P.T.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2011
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Last Update Date | 02/06/2012
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Provider Practice Location Address
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Address Line | 1091 S CORNWELL DR
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City | YUKON
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State | OK
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Zip | 73099-4554
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Country | US
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Telephone | 405-354-6698
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Fax | 405-354-6609
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Provider Business Mailing Address
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Address Line | 700 NW 7TH ST SUITE 302
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1212
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Country | US
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Telephone | 405-609-3675
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Fax | 800-506-3795
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4329
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License Number State | OK
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