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General NPI Number Information
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NPI Number | 1083502843
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Entity Type | Organization
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Legal Business Name | SUNSHINE CLINIC
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 1728 S CARSON AVE UNIT C
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City | TULSA
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State | OK
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Zip | 74119-4610
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Country | US
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Telephone | 918-932-8266
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Fax | 918-306-8002
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Provider Business Mailing Address
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Address Line | 736 N LEWIS PL
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City | TULSA
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State | OK
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Zip | 74110-5355
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Country | US
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Telephone | 918-443-7137
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Fax | 918-306-8002
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Authorized Official
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Title or Position | OWNER
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Name | KATARINA NORMAN
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Credential | APRN-CNP
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Telephone | 918-443-7137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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