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General NPI Number Information
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NPI Number | 1144099516
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Entity Type | Individual
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Provider Name | KATHRYN ARLENE ALDEN LPN
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Gender | Female
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 204 S RIVERFRONT DR APT 206
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City | JENKS
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State | OK
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Zip | 74037-3909
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Country | US
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Telephone | 720-688-0277
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Fax |
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Provider Business Mailing Address
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Address Line | 7331 S OLYMPIA AVE # 218
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City | TULSA
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State | OK
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Zip | 74132-1849
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Country | US
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Telephone | 720-688-0277
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | L0045319
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License Number State | OK
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