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General NPI Number Information
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NPI Number | 1023210408
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Entity Type | Individual
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Provider Name | NETRI NIT ARU TEREF TA CNM
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Gender | Female
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 1111 N LEE AVE SUITE 300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-2600
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Country | US
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Telephone | 405-272-7005
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Fax | 405-272-7391
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Provider Business Mailing Address
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Address Line | PO BOX 268986
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-8986
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Country | US
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Telephone | 405-231-3857
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Fax | 405-272-7977
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | R0055332
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | C8043242
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | CNM 11160
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License Number State | OK
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