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General NPI Number Information
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NPI Number | 1023942281
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Entity Type | Organization
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Legal Business Name | STONEROCK FAMILY HEALTH
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 22280 EW 26 RD
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City | CHELSEA
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State | OK
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Zip | 74016-1685
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Country | US
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Telephone | 580-304-6298
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Fax |
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Provider Business Mailing Address
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Address Line | 22280 EW 26 RD
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City | CHELSEA
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State | OK
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Zip | 74016-1685
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Country | US
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Telephone | 580-304-6298
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | NICKI CARRIERE
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Credential | NP
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Telephone | 580-304-6298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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