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General NPI Number Information
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NPI Number | 1669359238
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Entity Type | Individual
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Provider Name | ABIGAIL MITCHELL PTA
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 554 SE WASHINGTON BLVD # 7416
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City | BARTLESVILLE
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State | OK
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Zip | 74006-8231
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Country | US
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Telephone | 918-214-8028
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Fax | 918-214-8518
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Provider Business Mailing Address
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Address Line | 7416 E 84TH ST N
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City | OWASSO
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State | OK
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Zip | 74055-7440
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Country | US
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Telephone | 918-530-8875
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 3945
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License Number State | OK
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