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General NPI Number Information
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NPI Number | 1144090598
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Entity Type | Organization
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Legal Business Name | INNOVATIONS FAMILY WELLNESS
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 7503 W 60TH PL N
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City | TULSA
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State | OK
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Zip | 74126-2369
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Country | US
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Telephone | 918-710-4257
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Fax |
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Provider Business Mailing Address
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Address Line | 7503 W 60TH PL N
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City | TULSA
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State | OK
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Zip | 74126-2369
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MONTIKA COLLINS
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Credential |
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Telephone | 918-398-3586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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