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General NPI Number Information
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NPI Number | 1982426821
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Entity Type | Individual
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Provider Name | SARAH RUTH ANN ROE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 356110 E 930 RD
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City | STROUD
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State | OK
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Zip | 74079-5184
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Country | US
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Telephone | 918-968-9531
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Fax |
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Provider Business Mailing Address
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Address Line | 910799 S MOCCASIN TRL
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City | CHANDLER
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State | OK
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Zip | 74834-6051
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Country | US
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Telephone | 405-240-7200
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19614
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License Number State | OK
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