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General NPI Number Information
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NPI Number | 1932492774
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Entity Type | Individual
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Provider Name | BILLY AL KILPATRICK II MS
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Gender | Male
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 07/16/2015
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Provider Practice Location Address
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Address Line | 114 W DELAWARE AVE
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City | NOWATA
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State | OK
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Zip | 74048-2601
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Country | US
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Telephone | 918-273-1841
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Fax | 918-273-1843
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Provider Business Mailing Address
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Address Line | 202 SW 3RD STREET
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City | ADAIR
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State | OK
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Zip | 74330-2000
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Country | US
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Telephone | 918-824-5009
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Fax | 918-785-5659
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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