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General NPI Number Information
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NPI Number | 1861094724
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Entity Type | Individual
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Provider Name | GARY ERROL LONDON DPH
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Gender | Male
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Dates
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Enumeration Date | 11/14/2020
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Last Update Date | 11/14/2020
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Provider Practice Location Address
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Address Line | 1608 S DIVISION ST
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City | GUTHRIE
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State | OK
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Zip | 73044-5015
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Country | US
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Telephone | 405-282-1051
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Fax |
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Provider Business Mailing Address
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Address Line | 3317 SAND PLUM LN
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City | EDMOND
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State | OK
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Zip | 73003-3075
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Country | US
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Telephone | 405-613-4209
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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 | 8062
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License Number State | OK
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