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General NPI Number Information
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NPI Number | 1568744563
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Entity Type | Individual
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Provider Name | ASHLEY LAUREN MCINTYRE RN,BSN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2011
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 425 FRETZ AVE E & F
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City | EDMOND
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State | OK
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Zip | 73003-5532
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Country | US
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Telephone | 405-506-6703
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Fax | 405-562-1868
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Provider Business Mailing Address
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Address Line | 22677 N MACARTHUR BLVD
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City | EDMOND
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State | OK
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Zip | 73025-9373
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Country | US
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Telephone | 405-301-6540
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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