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General NPI Number Information
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NPI Number | 1245095439
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Entity Type | Organization
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Legal Business Name | NATIVE HEALTH, LLC
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 910 S BRYANT AVE
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City | EDMOND
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State | OK
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Zip | 73034-5742
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Country | US
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Telephone | 405-833-4890
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Fax |
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Provider Business Mailing Address
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Address Line | 910 S BRYANT AVE
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City | EDMOND
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State | OK
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Zip | 73034-5742
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Country | US
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Telephone | 405-216-3510
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | LAUREN WALTERS
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Credential | APRN-CNP
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Telephone | 405-216-3510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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