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General NPI Number Information
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NPI Number | 1780285817
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Entity Type | Individual
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Provider Name | KELLIE DAWN SPURLOCK PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 8 SW 89TH ST STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-8535
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Country | US
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Telephone | 405-761-2762
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Fax | 877-909-7647
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Provider Business Mailing Address
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Address Line | 8 SW 89TH ST STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-8535
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Country | US
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Telephone | 405-761-2762
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Fax | 877-909-7647
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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 | 54049
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13529
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 1835I0206X
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Taxonomy Name | Infectious Diseases Pharmacist
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License Number | 13529
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License Number State | OK
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