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General NPI Number Information
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NPI Number | 1235083791
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Entity Type | Organization
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Legal Business Name | TOTAL VITALITY LLC
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 1401 S DOUGLAS BLVD STE J
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City | MIDWEST CITY
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State | OK
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Zip | 73130-5200
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Country | US
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Telephone | 707-344-0524
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30483
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City | MIDWEST CITY
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State | OK
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Zip | 73140-3483
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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 | OWNER
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Name | DYANNA JOHNSTON
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Credential | NP
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Telephone | 707-344-0524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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