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General NPI Number Information
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NPI Number | 1497594089
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Entity Type | Individual
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Provider Name | AARON WILLIAM WALKER SAPP DDS
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Gender | Male
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 4508 MEMORIAL CIR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73142-5003
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Country | US
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Telephone | 405-946-6136
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Fax |
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Provider Business Mailing Address
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Address Line | 3040 NW 181ST ST
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City | EDMOND
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State | OK
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Zip | 73012-6824
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Country | US
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Telephone | 918-978-7883
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7855
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License Number State | OK
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