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General NPI Number Information
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NPI Number | 1336820596
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Entity Type | Organization
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Legal Business Name | EMBRACING MORTALITY, INC.
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 1912 ROSEDALE DR
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City | EDMOND
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State | OK
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Zip | 73013-6641
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Country | US
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Telephone | 405-633-6310
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Fax |
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Provider Business Mailing Address
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Address Line | 1912 ROSEDALE DR
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City | EDMOND
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State | OK
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Zip | 73013-6641
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Country | US
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Telephone | 405-633-6310
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MITZI BRASSEAUX SAVAGE
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Credential | DNP, APRN, FNP-C
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Telephone | 405-633-6310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QV0200X
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Taxonomy Name | VA Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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