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General NPI Number Information
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NPI Number | 1043926900
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Entity Type | Individual
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Provider Name | MCKENZIE LYNN VARELA PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 300 EDNA M. ROCKEFELLER DRIVE
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City | MUSKOGEE
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State | OK
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Zip | 74401
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Country | US
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Telephone | 918-502-1900
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Fax | 918-494-6303
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Provider Business Mailing Address
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Address Line | 6600 S YALE AVE STE 1400
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City | TULSA
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State | OK
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Zip | 74136-3331
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Country | US
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Telephone | 888-247-0125
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Fax | 918-502-8210
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4975
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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