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General NPI Number Information
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NPI Number | 1295630697
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Entity Type | Individual
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Provider Name | ADRIANNA ISABEL CARRION CHARQUENO PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/14/2026
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Last Update Date | 10/14/2026
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Provider Practice Location Address
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Address Line | 4100 S DOUGLAS AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-3210
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Country | US
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Telephone | 405-644-5182
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Fax | 405-636-7178
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Provider Business Mailing Address
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Address Line | 10213 PLYMOUTH CT
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-6010
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Country | US
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Telephone | 405-644-5182
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Fax | 405-636-7178
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 7164
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License Number State | OK
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