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General NPI Number Information
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NPI Number | 1043090103
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Entity Type | Individual
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Provider Name | JENNIFER RUTH RHINE APRN-CNP, PMHNP,BC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 4750 S GARNETT RD
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City | TULSA
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State | OK
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Zip | 74146-5222
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Country | US
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Telephone | 539-812-2100
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Fax | 800-242-5174
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Provider Business Mailing Address
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Address Line | 4750 S GARNETT RD
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City | TULSA
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State | OK
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Zip | 74146-5222
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Country | US
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Telephone | 539-812-2100
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Fax | 800-242-5174
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R0130893
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 216100
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License Number State | OK
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