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General NPI Number Information
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NPI Number | 1790413011
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Entity Type | Individual
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Provider Name | SIMRAN BHARAT HARI PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/13/2022
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 2212 N BROADWAY ST
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City | MOORE
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State | OK
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Zip | 73160-4303
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Country | US
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Telephone | 405-285-7222
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Fax | 405-285-7227
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Provider Business Mailing Address
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Address Line | 2212 N BROADWAY ST
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City | MOORE
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State | OK
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Zip | 73160-4303
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Country | US
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Telephone | 405-285-7222
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Fax | 405-285-7227
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5481
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License Number State | OK
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