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General NPI Number Information
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NPI Number | 1033697115
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Entity Type | Individual
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Provider Name | STEPHANIE ANN WASHINGTON
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Gender | Female
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 7226 E 41ST ST
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City | TULSA
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State | OK
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Zip | 74145-4504
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Country | US
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Telephone | 918-271-5118
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Fax | 918-933-4097
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Provider Business Mailing Address
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Address Line | 8410 E 65TH ST
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City | TULSA
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State | OK
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Zip | 74133-7611
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Country | US
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Telephone | 918-346-0197
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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