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General NPI Number Information
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NPI Number | 1720612443
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Entity Type | Organization
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Legal Business Name | FEDERAL TRANSFER CENTER OKLAHOMA CITY
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 03/03/2020
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Provider Practice Location Address
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Address Line | 7410 S MACARTHUR BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73169-6908
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Country | US
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Telephone | 405-682-4075
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Fax | 405-680-4095
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Provider Business Mailing Address
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Address Line | PO BOX 898802
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City | OKLAHOMA CITY
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State | OK
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Zip | 73189-8802
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Country | US
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Telephone | 405-682-4075
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Fax | 405-680-4095
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Authorized Official
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Title or Position | CHIEF PHARMACIST
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Name | BRIAN DAN HAMBURGER
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Credential | PHARMD
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Telephone | 405-680-4075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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