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General NPI Number Information
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NPI Number | 1659110328
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Entity Type | Individual
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Provider Name | MEAGAN SHOWALTER
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Gender | Female
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 1009 PARKWOODS DR
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City | NOBLE
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State | OK
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Zip | 73068-9391
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Country | US
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Telephone | 405-872-9597
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 NW STERLING ST
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City | NORMAN
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State | OK
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Zip | 73072-1239
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Country | US
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Telephone | 818-519-5641
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7860
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License Number State | OK
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