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General NPI Number Information
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NPI Number | 1073774279
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Entity Type | Individual
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Provider Name | COURTNEY MARIE HALE APRN-FNP
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Gender | Female
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 2000 S WHEELING AVE STE 510
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City | TULSA
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State | OK
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Zip | 74104-5642
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Country | US
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Telephone | 918-747-5200
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Fax | 918-588-0290
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Provider Business Mailing Address
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Address Line | 1515 N HARVARD AVE STE E
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City | TULSA
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State | OK
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Zip | 74115-4957
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Country | US
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Telephone | 918-832-6049
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Fax | 918-832-6055
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 174976
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R0077451
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License Number State | OK
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