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General NPI Number Information
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NPI Number | 1932016987
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Entity Type | Organization
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Legal Business Name | BUFFALO PRIMARY CARE AND WALK IN CLINIC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 1201 E WADE WATTS AVE
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City | MCALESTER
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State | OK
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Zip | 74501-5655
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Country | US
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Telephone | 918-233-6522
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Fax |
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Provider Business Mailing Address
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Address Line | 74 CHOC LN
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City | MCALESTER
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State | OK
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Zip | 74501-7288
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Country | US
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Telephone | 918-841-5120
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | HANNAH MARIE MARTIN
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Credential | APRN
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Telephone | 918-841-5120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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