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NPI 1992052831

NPI 1992052831 : LYNETTE HELM RPTA : GUYMON, OK

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General NPI Number Information
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    NPI Number           |    1992052831
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    Entity Type          |    Individual 
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    Provider Name        |    LYNETTE HELM RPTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/09/2012
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    Last Update Date     |    08/09/2012
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Provider Practice Location Address
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    Address Line         |    302 NORTHRIDGE CIRCLE 
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    City                 |    GUYMON
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    State                |    OK
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    Zip                  |    73942
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    Country              |    US
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    Telephone            |    580-338-4789
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    Fax                  |    866-999-0184
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Provider Business Mailing Address
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    Address Line         |    302 NORTHRIDGE CIRCLE 
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    City                 |    GUYMON
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    State                |    OK
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    Zip                  |    73942
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    Country              |    US
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    Telephone            |    580-338-4789
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    Fax                  |    866-999-0184
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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        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    516
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    License Number State |    OK
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