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General NPI Number Information
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NPI Number | 1265074975
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Entity Type | Individual
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Provider Name | ANGELA TIANA ESSARY APNP, NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 1334 N HARVILLE RD
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City | DUNCAN
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State | OK
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Zip | 73533-1514
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Country | US
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Telephone | 405-278-8006
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 WEATHERS BROOK LN
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City | EDMOND
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State | OK
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Zip | 73025-0504
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Country | US
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Telephone | 405-361-0981
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 76378
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License Number State | OK
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