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General NPI Number Information
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NPI Number | 1730565367
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Entity Type | Individual
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Provider Name | LISA CHRISTINE GUNTER DPT
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Gender | Female
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 6729 NW 39TH EXPY
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City | BETHANY
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State | OK
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Zip | 73008-2605
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Country | US
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Telephone | 405-717-6290
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Fax | 405-717-6295
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Provider Business Mailing Address
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Address Line | 6729 NW 39TH EXPY
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City | BETHANY
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State | OK
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Zip | 73008-2605
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Country | US
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Telephone | 405-717-6290
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Fax | 405-717-6295
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4964
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License Number State | OK
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