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General NPI Number Information
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NPI Number | 1073391058
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Entity Type | Organization
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Legal Business Name | YOUR CHOICE HEALTHCARE LLC
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 1926 S HIGHWAY 66
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City | CLAREMORE
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State | OK
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Zip | 74019-4371
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Country | US
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Telephone | 539-208-5563
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Fax | 918-376-6166
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Provider Business Mailing Address
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Address Line | 7915 N 160TH EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-7026
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Country | US
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Telephone | 918-978-8900
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER/OWNER
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Name | CAROL S CARTER
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Credential | APRN-CNP
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Telephone | 918-987-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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