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General NPI Number Information
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NPI Number | 1295476794
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Entity Type | Individual
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Provider Name | AKEIRA WARNER I
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Gender | Female
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1011 E TAFT AVE
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City | SAPULPA
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State | OK
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Zip | 74066-5730
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Country | US
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Telephone | 918-212-6943
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 ROYSTER RD
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City | FORT WORTH
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State | TX
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Zip | 76134-3604
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Country | US
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Telephone | 817-919-6059
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D14864
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 38614
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7983
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License Number State | OK
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