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General NPI Number Information
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NPI Number | 1083161277
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Entity Type | Individual
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Provider Name | KAREN DANIELS RACKLEY DNP, APRN CNP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1023 E CHERRY ST STE D
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City | CUSHING
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State | OK
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Zip | 74023-4105
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Country | US
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Telephone | 918-225-3627
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Fax |
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Provider Business Mailing Address
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Address Line | 110 W 7TH ST
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City | TULSA
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State | OK
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Zip | 74119-1031
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Country | US
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Telephone | 918-579-3826
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 62374
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License Number State | OK
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