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General NPI Number Information
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NPI Number | 1336543016
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Entity Type | Individual
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Provider Name | BETHANY BANAKOS ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 500 E ROBINSON ST STE 2600
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City | NORMAN
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State | OK
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Zip | 73071-6697
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Country | US
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Telephone | 405-364-6432
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Fax | 405-928-7513
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Provider Business Mailing Address
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Address Line | 500 E ROBINSON ST STE 2600
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City | NORMAN
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State | OK
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Zip | 73071-6697
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Country | US
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Telephone | 405-364-6432
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Fax | 405-928-7513
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0404381
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License Number State | OK
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