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1619514213 NPI number — ASHLEY DANIELLE DEVAUGHAN CIRCLES PHARMD, MBA, BCPS

NPI Number: 1619514213
Health Care Provider/Practitioner: ASHLEY DANIELLE DEVAUGHAN CIRCLES PHARMD, MBA, BCPS

Information about “1619514213” NPI (ASHLEY DANIELLE DEVAUGHAN CIRCLES PHARMD, MBA, BCPS) exists in 1619514213 in HTML format HTML  |  1619514213 in plain Text format TXT  |  1619514213 in PDF (Portable Document Format) PDF  |  1619514213 in an XML format XML  formats.

NPI Number : 1619514213 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619514213",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEVAUGHAN CIRCLES",
    "FirstName": "ASHLEY",
    "MiddleName": "DANIELLE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD, MBA, BCPS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DEVAUGHAN",
    "OtherFirstName": "ASHLEY",
    "OtherMiddleName": "DANIELLE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "PHARMD, MBA, BCPS",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 384",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT COBB",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73038-0384",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "580-515-1685",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1515 NE LAWRIE TATUM RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAWTON",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73507-3099",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "580-354-5548",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/03/2019",
    "LastUpdateDate": "04/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1835P1200X",
          "TaxonomyName": "Pharmacotherapy Pharmacist",
          "LicenseNumber": "18073",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "183500000X",
          "TaxonomyName": "Pharmacist",
          "LicenseNumber": "18073",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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