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NPI 1275407553

NPI 1275407553 : DMT HEALTH SERVICES LLC : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1275407553
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    Entity Type          |    Organization 
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    Legal Business Name  |    DMT HEALTH SERVICES LLC 
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Dates
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    Enumeration Date     |    10/01/2025
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    Last Update Date     |    10/01/2025
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Provider Practice Location Address
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    Address Line         |    5300 N MERIDIAN AVE STE 10F 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73112-2179
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    Country              |    US
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    Telephone            |    405-413-1826
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1417 CORDGRASS CT 
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73013-2141
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    Country              |    US
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    Telephone            |    405-413-1826
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    Fax                  |    
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Authorized Official
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    Title or Position    |    APRN-DNP
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    Name                 |    DR. NADINE TOUAYEM MBOU 
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    Credential           |    FNP
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    Telephone            |    405-413-1826
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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       |    
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    License Number State |    
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