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General NPI Number Information
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NPI Number | 1073498366
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Entity Type | Organization
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Legal Business Name | A NEW LEAF, INC.
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 8535 N MEMORIAL DR
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City | OWASSO
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State | OK
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Zip | 74055-6929
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Country | US
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Telephone | 918-451-1491
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Fax | 539-367-3299
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Provider Business Mailing Address
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Address Line | 8535 N MEMORIAL DR
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City | OWASSO
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State | OK
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Zip | 74055-6929
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Country | US
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Telephone | 918-451-1491
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Fax | 539-367-3299
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Authorized Official
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Title or Position | CHIEF PROGRAMS OFFICER
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Name | TAMMIE LEWIS
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Credential |
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Telephone | 918-451-1491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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