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General NPI Number Information
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NPI Number | 1508925348
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Entity Type | Individual
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Provider Name | BRETT COLBY DOYLE DPH
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Gender | Male
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 211 W MAIN AVE
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City | COMANCHE
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State | OK
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Zip | 73529-1445
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Country | US
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Telephone | 580-439-8846
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Fax | 580-439-8846
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Provider Business Mailing Address
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Address Line | 24963 STATE ROAD 22
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City | CADDO
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State | OK
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Zip | 74729-2218
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Country | US
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Telephone | 580-367-2395
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Fax | 580-439-8846
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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 | 11086
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License Number State | OK
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