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General NPI Number Information
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NPI Number | 1588800346
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Entity Type | Individual
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Provider Name | LINDSAY MARIE BLANKENSHIP PA
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Gender | Female
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 02/27/2019
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Provider Practice Location Address
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Address Line | 8801 S 101ST EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-5716
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Country | US
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Telephone | 918-294-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5358
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City | NORMAN
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State | OK
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Zip | 73070-5358
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Country | US
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Telephone | 866-321-8433
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0004250
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | OK
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