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General NPI Number Information
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NPI Number | 1356294060
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Entity Type | Individual
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Provider Name | MS. COURTNEY L HERRON
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Gender | Female
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 7217 SE 15TH ST
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City | MIDWEST CITY
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State | OK
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Zip | 73110-5235
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Country | US
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Telephone | 405-671-8640
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Fax | 405-582-7029
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Provider Business Mailing Address
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Address Line | 3816 SE 45TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73135-2020
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Country | US
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Telephone | 405-671-8640
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Fax | 405-582-7029
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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 | 364SS0200X
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Taxonomy Name | School Clinical Nurse Specialist
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License Number | L0067672
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License Number State | OK
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