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General NPI Number Information
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NPI Number | 1598099392
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Entity Type | Individual
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Provider Name | GAYDAWN MAGEE H.I.S.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | 715 S I 35 SERVICE RD
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City | MOORE
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State | OK
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Zip | 73160-3175
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Country | US
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Telephone | 405-703-8919
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Fax | 405-703-8969
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Provider Business Mailing Address
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Address Line | 715 S I 35 SERVICE RD
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City | MOORE
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State | OK
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Zip | 73160-3175
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Country | US
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Telephone | 405-703-8919
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Fax | 405-703-8969
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1002
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License Number State | OK
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