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General NPI Number Information
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NPI Number | 1073408530
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Entity Type | Individual
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Provider Name | ALECIA DIANE MCCARTHY RN
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1924 S UTICA AVE STE 400
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City | TULSA
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State | OK
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Zip | 74104-6510
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Country | US
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Telephone | 918-973-4796
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 E RENO ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-9380
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Country | US
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Telephone | 918-453-3619
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | R0078191
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License Number State | OK
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