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NPI 1942321971

NPI 1942321971 : LORI L. WHITMAN HIS : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1942321971
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    Entity Type          |    Individual 
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    Provider Name        |    LORI L. WHITMAN HIS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/03/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    7300 S WESTERN AVE 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73139-2002
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    Country              |    US
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    Telephone            |    405-632-3862
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    Fax                  |    405-632-7436
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Provider Business Mailing Address
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    Address Line         |    216 CASTLE ROCK RD 
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    City                 |    YUKON
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    State                |    OK
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    Zip                  |    73099-4425
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    Country              |    US
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    Telephone            |    405-354-0632
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    931
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    License Number State |    OK
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