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General NPI Number Information
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NPI Number | 1629953070
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Entity Type | Individual
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Provider Name | KATHY COLLIER DPH
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Gender |
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 12071 S STATE HIGHWAY 51
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City | COWETA
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State | OK
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Zip | 74429-7136
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Country | US
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Telephone | 918-269-1202
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 RIVERFRONT DR STE 100
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City | LITTLE ROCK
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State | AR
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Zip | 72202-1882
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Country | US
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Telephone | 918-269-1202
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11684
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License Number State | OK
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