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General NPI Number Information
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NPI Number | 1366897142
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Entity Type | Individual
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Provider Name | SIERRA DAWN ELSEY DNP NP-C BSN IBCLC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 10/29/2021
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Provider Practice Location Address
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Address Line | 1631 TEXAS ST
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City | WOODWARD
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State | OK
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Zip | 73801-3041
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Country | US
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Telephone | 580-334-3711
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 397
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City | MOORELAND
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State | OK
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Zip | 73852-0397
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Country | US
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Telephone | 580-334-3711
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R0106919
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-67387
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F10210870
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License Number State | OK
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