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General NPI Number Information
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NPI Number | 1992870083
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Entity Type | Individual
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Provider Name | BRANDY EARLENE CRAWFORD CPHT
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Gender | Female
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6666 S SHERIDAN RD SUITE 100
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City | TULSA
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State | OK
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Zip | 74133-1756
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Country | US
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Telephone | 918-493-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 707 S CEDAR ST
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City | BRISTOW
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State | OK
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Zip | 74010-3623
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Country | US
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Telephone | 918-367-2600
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | T-9576
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License Number State | OK
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