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General NPI Number Information
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NPI Number | 1548700834
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Entity Type | Organization
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Legal Business Name | ACCESS FAMILY CARE LLC
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 03/06/2017
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Provider Practice Location Address
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Address Line | 218 N MAIN ST
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City | EUFAULA
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State | OK
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Zip | 74432-1633
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Country | US
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Telephone | 918-689-7705
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Fax |
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Provider Business Mailing Address
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Address Line | 218 N MAIN ST
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City | EUFAULA
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State | OK
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Zip | 74432-1633
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Country | US
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Telephone | 918-689-7705
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER-CERTIFIED
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Name | DR. CHRISTIE LYNNE GRIFFIN
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Credential | DNP, APRN
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Telephone | 918-689-7705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | R0052357
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License Number State | OK
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