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General NPI Number Information
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NPI Number | 1033169933
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Entity Type | Individual
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Provider Name | KRISTY RENEA BAKER ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 01/15/2021
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Provider Practice Location Address
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Address Line | 211 N ILLINOIS ST
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City | WEATHERFORD
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State | OK
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Zip | 73096-5437
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Country | US
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Telephone | 580-323-1937
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Fax | 580-323-1156
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Provider Business Mailing Address
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Address Line | 5300 N INDEPENDENCE AVE SUITE 280
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-5556
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Country | US
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Telephone | 580-323-1937
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Fax | 580-323-1156
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | R0057523
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License Number State | OK
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