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General NPI Number Information
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NPI Number | 1073202792
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Entity Type | Organization
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Legal Business Name | 918 FAMILY WELLNESS PLLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 8430 N 123RD EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-2130
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Country | US
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Telephone | 918-401-4770
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Fax | 918-401-4779
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Provider Business Mailing Address
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Address Line | 8430 N 123RD EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-2130
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Country | US
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Telephone | 918-401-4770
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Fax | 918-401-4779
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Authorized Official
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Title or Position | OWNER, NURSE PRACTITIONER
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Name | ANDREA ALLEN
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Credential | APRN FNP-C
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Telephone | 918-401-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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