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General NPI Number Information
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NPI Number | 1154124261
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Entity Type | Individual
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Provider Name | OLIVIA ANNE DERRYBERRY PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 11200 N PORTLAND AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-5045
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Country | US
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Telephone | 405-496-7348
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 N BLACKWELDER AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-1402
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Country | US
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Telephone | 405-496-7348
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5602
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License Number State | OK
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