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General NPI Number Information
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NPI Number | 1861197295
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Entity Type | Individual
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Provider Name | KENNEDI ELIZABETH PUCKETT PA
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Gender | Female
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 1110 N LEE AVE STE 300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-2612
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Country | US
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Telephone | 405-231-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 NW 144TH ST
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City | YUKON
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State | OK
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Zip | 73099-4731
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Country | US
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Telephone | 918-869-2515
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | OK
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