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General NPI Number Information
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NPI Number | 1083545214
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Entity Type | Organization
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Legal Business Name | WADE WELLNESS, PLLC
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 05/27/2026
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Provider Practice Location Address
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Address Line | 701 5TH ST RM 101
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City | PAWNEE
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State | OK
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Zip | 74058-2590
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Country | US
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Telephone | 480-242-7846
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Fax |
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Provider Business Mailing Address
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Address Line | 341270 E 5100 RD
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City | GLENCOE
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State | OK
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Zip | 74032-2278
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Country | US
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Telephone | 480-242-7846
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL PROVIDER
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Name | RONDA WADE
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Credential | CNP
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Telephone | 480-242-7846
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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 |
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License Number State |
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