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General NPI Number Information
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NPI Number | 1154005551
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Entity Type | Individual
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Provider Name | STEVEN ELROD MSN, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 2133 E 2ND ST APT 5208
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City | EDMOND
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State | OK
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Zip | 73034-1809
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Country | US
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Telephone | 888-789-2256
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Fax | 888-404-1909
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Provider Business Mailing Address
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Address Line | 2133 E 2ND ST APT 5208
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City | EDMOND
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State | OK
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Zip | 73034-1809
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Country | US
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Telephone | 888-789-2256
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Fax | 888-404-1909
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 212047
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License Number State | OK
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