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NPI 1760477632

NPI 1760477632 : CHRISTY SCOGGINS FNP : LAWTON, OK

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General NPI Number Information
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    NPI Number           |    1760477632
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTY SCOGGINS FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/15/2005
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    Last Update Date     |    10/10/2025
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Provider Practice Location Address
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    Address Line         |    3414 NW CACHE RD 
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    City                 |    LAWTON
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    State                |    OK
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    Zip                  |    73505-3877
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    Country              |    US
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    Telephone            |    580-265-8871
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    Fax                  |    580-265-8849
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Provider Business Mailing Address
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    Address Line         |    3414 NW CACHE RD 
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    City                 |    LAWTON
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    State                |    OK
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    Zip                  |    73505-3877
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    Country              |    US
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    Telephone            |    580-265-8871
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    Fax                  |    580-265-8849
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    222057
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    License Number State |    OK
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