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General NPI Number Information
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NPI Number | 1164358578
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Entity Type | Individual
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Provider Name | ISAAC JAMES DEAN
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Gender | Male
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 907 W CADDO ST
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City | CLEVELAND
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State | OK
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Zip | 74020-4201
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Country | US
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Telephone | 844-458-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 106800 S 3450 RD
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City | MEEKER
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State | OK
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Zip | 74855-5547
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Country | US
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Telephone | 405-777-6657
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Fax | 405-777-6657
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OK
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