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General NPI Number Information
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NPI Number | 1568348571
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Entity Type | Individual
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Provider Name | CARLEY MIRANDA WARBURTON OD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 309 S ANN ARBOR AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73128-1112
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Country | US
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Telephone | 405-948-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 GRACE ST
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City | OKMULGEE
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State | OK
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Zip | 74447-6913
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Country | US
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Telephone | 918-752-7447
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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 | 3327
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License Number State | OK
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