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General NPI Number Information
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NPI Number | 1972596641
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Entity Type | Individual
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Provider Name | ALISON FAITH DANCER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1301 W 6TH AVE SUITE 210
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City | STILLWATER
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State | OK
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Zip | 74074-4381
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Country | US
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Telephone | 405-377-1206
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 W 6TH AVE SUITE 210
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City | STILLWATER
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State | OK
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Zip | 74074-4381
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Country | US
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Telephone | 405-377-1206
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 17866
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License Number State | OK
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