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General NPI Number Information
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NPI Number | 1174335707
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Entity Type | Organization
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Legal Business Name | NURTURING HEALTH LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 820 IRISH LN STE E
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City | EDMOND
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State | OK
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Zip | 73003-5879
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Country | US
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Telephone | 808-260-8531
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Fax |
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Provider Business Mailing Address
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Address Line | 6401 NW 162ND CT
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City | EDMOND
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State | OK
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Zip | 73013-3230
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Country | US
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Telephone | 808-260-8531
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ELISE FOKUM
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Credential |
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Telephone | 808-260-8531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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