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General NPI Number Information
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NPI Number | 1518175892
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Entity Type | Individual
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Provider Name | ANGELA C FARMER ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1010 SW SHERIDAN RD
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City | LAWTON
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State | OK
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Zip | 73505-1531
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Country | US
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Telephone | 508-248-5890
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Fax |
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Provider Business Mailing Address
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Address Line | 4103 NW CURRELL DR
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City | LAWTON
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State | OK
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Zip | 73505-4943
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Country | US
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Telephone | 580-357-7988
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 57656
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License Number State | OK
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