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NPI Code Detail

MEDICARE: DEANNA CARPITCHE

MEDICARE: DEANNA CARPITCHE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11376564146OTHERNPI

General Provider Information

NPI Number : 1376564146
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA CARPITCHE
Provider Business Mailing Address
First Line : 1001 N COUNTRY CLUB RD
Second Line :
City : ADA
State : OK
Zip : 74820-2847
Country : US
Telephone Number : 580-421-4570
Fax Number : 580-421-4570
Provider Business Practice Location Address
First Line : 1001 N COUNTRY CLUB RD
Second Line :
City : ADA
State : OK
Zip : 74820-2847
Country : US
Telephone Number : 580-421-4570
Fax Number : 580-421-4570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/20/2007

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Directions to “ DEANNA CARPITCHE ” Practice Location

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