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General NPI Number Information
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NPI Number | 1699252692
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Entity Type | Individual
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Provider Name | LYDIA FEIGHNER
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 02/08/2021
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Provider Practice Location Address
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Address Line | 10159 E 11TH ST
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City | TULSA
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State | OK
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Zip | 74128-3058
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Country | US
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Telephone | 918-210-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 4214 E 100TH ST
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City | TULSA
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State | OK
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Zip | 74137-5300
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Country | US
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Telephone |
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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 | 1-105888
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 64660
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License Number State | TX
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