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General NPI Number Information
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NPI Number | 1194300525
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Entity Type | Individual
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Provider Name | CHARLOTTE BARRETT
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Gender | Female
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 511 E REDWOOD AVE
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City | SALLISAW
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State | OK
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Zip | 74955-3020
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Country | US
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Telephone | 918-775-1619
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Fax |
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Provider Business Mailing Address
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Address Line | 461717 E 1033 RD
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City | SALLISAW
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State | OK
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Zip | 74955-5166
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Country | US
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Telephone | 918-571-3878
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201590
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License Number State | OK
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