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NPI 1558746370

NPI 1558746370 : JENNIFER M HOWELL O.D. : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1558746370
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER M HOWELL O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/22/2015
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    Last Update Date     |    03/28/2016
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Provider Practice Location Address
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    Address Line         |    7104 S SHERIDAN RD #4
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74133-2770
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    Country              |    US
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    Telephone            |    918-496-2900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7104 S SHERIDAN RD. #4
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74133-8042
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    Country              |    US
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    Telephone            |    918-496-2900
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    2852
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    License Number State |    OK
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