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General NPI Number Information
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NPI Number | 1285973388
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Entity Type | Individual
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Provider Name | TRACY PARKER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 1407 N WHISENANT DR
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City | DUNCAN
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State | OK
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Zip | 73533-1650
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Country | US
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Telephone | 405-251-8557
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Fax |
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Provider Business Mailing Address
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Address Line | 3012 MORNING GLORY ST
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City | MOORE
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State | OK
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Zip | 73160-1071
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Country | US
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Telephone | 405-615-9458
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R0096655
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License Number State | OK
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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 | 96655
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License Number State | OK
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