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General NPI Number Information
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NPI Number | 1851321475
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Entity Type | Individual
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Provider Name | HARRY LAYTON CPO, LPO
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 2724 W GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-6319
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Country | US
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Telephone | 580-353-5525
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Fax | 580-353-5523
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Provider Business Mailing Address
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Address Line | 2724 W GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-6319
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Country | US
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Telephone | 580-353-5525
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Fax | 580-353-5523
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | LPO46
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | LPO46
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License Number State | OK
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