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General NPI Number Information
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NPI Number | 1538034681
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Entity Type | Individual
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Provider Name | DEBRA JEAN ELIZONDO RN
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Gender | Female
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 5602 SW LEE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-9699
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Country | US
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Telephone | 580-531-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 3129 CARDINAL DR
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City | ARDMORE
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State | OK
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Zip | 73401-9111
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Country | US
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Telephone |
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 2231
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License Number State | OK
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