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General NPI Number Information
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NPI Number | 1568595890
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Entity Type | Individual
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Provider Name | ROBERT MICHAEL WARD MS, FAAA
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Gender | Male
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 231 E CHICKASAW AVE
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City | MCALESTER
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State | OK
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Zip | 74501-5347
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Country | US
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Telephone | 918-426-4742
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Fax | 918-423-2466
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Provider Business Mailing Address
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Address Line | 231 E CHICKASAW AVE
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City | MCALESTER
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State | OK
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Zip | 74501-5347
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Country | US
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Telephone | 918-426-4742
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Fax | 918-423-2466
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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 | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number | 94
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 94
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License Number State | OK
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Legacy Identifiers
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Identifier #1
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Identifier Code | 200125780
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Identifier Type | MEDICAID
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Identifier State | OK
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Identifier Issuer |
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Identifier #2
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Identifier Code | 100669410
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Identifier Type | MEDICAID
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Identifier State | OK
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Identifier Issuer |
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 100669410
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Identifier Type | MEDICAID
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Identifier State | OK
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Identifier Issuer |
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Identifier #2
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Identifier Code | 200125780
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Identifier Type | MEDICAID
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Identifier State | OK
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Identifier Issuer |
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