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General NPI Number Information
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NPI Number | 1255226734
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Entity Type | Individual
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Provider Name | KAREN SUE CRITTENDEN
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1011 HONOR HEIGHTS DR
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City | MUSKOGEE
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State | OK
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Zip | 74401-1318
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Country | US
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Telephone | 918-577-3830
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Fax | 918-577-4808
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Provider Business Mailing Address
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Address Line | 208 S SPRAGUE AVE
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City | WAGONER
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State | OK
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Zip | 74467-6411
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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 |
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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 | R0083521
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License Number State | OK
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