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General NPI Number Information
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NPI Number | 1932927787
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Entity Type | Individual
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Provider Name | MARGARET CAMPBELL GENTRY PA
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Gender | Female
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 501 E 15TH ST STE 300A
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City | EDMOND
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State | OK
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Zip | 73013-5035
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Country | US
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Telephone | 405-906-4020
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Fax | 405-906-2067
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Provider Business Mailing Address
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Address Line | 906 E LOCKHEED DR
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City | MIDWEST CITY
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State | OK
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Zip | 73110-5206
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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