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General NPI Number Information
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NPI Number | 1336878594
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Entity Type | Individual
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Provider Name | YVONNE R CHAMBERS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/05/2022
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Last Update Date | 06/05/2022
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Provider Practice Location Address
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Address Line | 7600 NW 23RD ST
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City | BETHANY
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State | OK
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Zip | 73008-4944
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Country | US
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Telephone | 405-792-5330
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Fax |
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Provider Business Mailing Address
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Address Line | 25208 187TH ST
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City | PURCELL
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State | OK
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Zip | 73080-9706
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Country | US
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Telephone | 405-397-8108
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R0051992
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License Number State | OK
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