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General NPI Number Information
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NPI Number | 1194429829
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Entity Type | Individual
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Provider Name | JOYCY PRANABDEV
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Gender | Female
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 100 S MONROE ST STE 15
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City | ELK CITY
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State | OK
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Zip | 73644-5762
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Country | US
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Telephone | 580-210-9396
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Fax | 580-245-6457
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Provider Business Mailing Address
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Address Line | 2606 E HIGHWAY 66
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City | ELK CITY
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State | OK
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Zip | 73644-9611
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Country | US
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Telephone | 580-210-9366
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Fax | 580-245-6457
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R0076371
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 214477
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 214477
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License Number State | OK
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