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General NPI Number Information
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NPI Number | 1740605807
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Entity Type | Individual
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Provider Name | ROBIN MILTON
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Gender | Female
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 1111 S SAINT LOUIS AVE
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City | TULSA
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State | OK
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Zip | 74120-5440
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Country | US
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Telephone | 918-660-3576
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Fax |
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Provider Business Mailing Address
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Address Line | 4502 E 41ST ST SUITE 1H21
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City | TULSA
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State | OK
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Zip | 74135-2536
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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 | 11810
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License Number State | OK
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