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General NPI Number Information
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NPI Number | 1497745186
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Entity Type | Organization
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Legal Business Name | SCOTT ROBISON'S PRESCRIPTIONS
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 1560 E 21ST ST #104
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City | TULSA
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State | OK
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Zip | 74114-1351
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Country | US
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Telephone | 918-743-2351
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Fax | 918-747-1385
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Provider Business Mailing Address
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Address Line | 1560 E 21ST ST #104
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City | TULSA
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State | OK
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Zip | 74114-1351
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Country | US
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Telephone | 918-743-2351
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Fax | 918-747-1385
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | MR. BRUCE D. WINKELMAN
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Credential | R.PH.
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Telephone | 918-743-2351
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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 | 9701
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License Number State | OK
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