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General NPI Number Information
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NPI Number | 1235064973
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Entity Type | Organization
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Legal Business Name | TENKILLER INTEGRATIVE FAMILY HEALTH
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 510 S THORNTON ST
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City | VIAN
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State | OK
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Zip | 74962-5031
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Country | US
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Telephone | 918-552-0562
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1
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City | COOKSON
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State | OK
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Zip | 74427-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | RAGAN BIRCKEL
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Credential | APRN, FNP-C, FIM-P
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Telephone | 918-710-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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