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General NPI Number Information
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NPI Number | 1043171234
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Entity Type | Individual
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Provider Name | RONALD RAY EPPERSON
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Gender | Male
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/30/2025
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Provider Practice Location Address
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Address Line | 4150 W 77TH ST S
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City | MUSKOGEE
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State | OK
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Zip | 74401-9286
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Country | US
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Telephone | 918-616-1309
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Fax |
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Provider Business Mailing Address
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Address Line | 4150 W 77TH ST S
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City | MUSKOGEE
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State | OK
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Zip | 74401-9286
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Country | US
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Telephone | 918-616-1309
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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 | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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