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General NPI Number Information
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NPI Number | 1851789085
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Entity Type | Individual
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Provider Name | CINDY ANNE COLLINS DPH
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Gender | Female
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Dates
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Enumeration Date | 12/22/2014
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 716 W MAIN ST
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City | PURCELL
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State | OK
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Zip | 73080-4006
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Country | US
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Telephone | 405-406-9108
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Fax |
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Provider Business Mailing Address
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Address Line | 716 W MAIN ST
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City | PURCELL
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State | OK
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Zip | 73080-4006
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Country | US
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Telephone | 405-406-9108
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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 | 11141
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License Number State | OK
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