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General NPI Number Information
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NPI Number | 1275062606
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Entity Type | Individual
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Provider Name | MS. TAMARA NICOLE PRICE
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Gender | Female
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | RR 1 BOX 9
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City | ROCKY
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State | OK
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Zip | 73661
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Country | US
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Telephone | 806-346-1075
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Fax |
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Provider Business Mailing Address
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Address Line | RR 1 BOX 9
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City | ROCKY
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State | OK
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Zip | 73661-9701
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Country | US
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Telephone | 806-346-1075
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OK
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