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General NPI Number Information
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NPI Number | 1902727878
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Entity Type | Individual
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Provider Name | DERYN NORMAN OD
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Gender | Female
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 1201 KIOWA ST STE A
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City | ARDMORE
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State | OK
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Zip | 73401-2246
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Country | US
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Telephone | 580-223-8585
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Fax | 580-223-8588
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Provider Business Mailing Address
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Address Line | 1201 KIOWA ST STE A
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City | ARDMORE
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State | OK
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Zip | 73401-2246
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Country | US
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Telephone | 580-223-8585
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Fax | 580-223-8588
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3362
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License Number State | OK
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