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General NPI Number Information
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NPI Number | 1295623874
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Entity Type | Individual
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Provider Name | LAUREN MICHELLE FUNKE APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 3400 NW EXPRESSWAY STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4491
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Country | US
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Telephone | 405-713-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 2325 NW 156TH ST
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City | EDMOND
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State | OK
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Zip | 73013-5066
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Country | US
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Telephone | 405-615-0599
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 223991
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License Number State | OK
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