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General NPI Number Information
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NPI Number | 1144269671
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Entity Type | Individual
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Provider Name | CHRIS PARKS CRNA
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 6300 NW EXPRESSWAY STE 120
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City | OKLAHOMA CITY
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State | OK
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Zip | 73132-5128
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Country | US
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Telephone | 405-445-3697
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Fax | 405-212-5571
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Provider Business Mailing Address
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Address Line | 6300 NW EXPRESSWAY STE 120
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City | OKLAHOMA CITY
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State | OK
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Zip | 73132-5128
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Country | US
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Telephone | 405-445-3697
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Fax | 405-212-5571
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | R2029229
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R0029229
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License Number State | OK
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