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General NPI Number Information
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NPI Number | 1407076615
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Entity Type | Individual
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Provider Name | KIM A TEEHEE RN
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Gender | Female
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 3100 MEDICAL PKWY
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City | CLAREMORE
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State | OK
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Zip | 74017-1088
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Country | US
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Telephone | 918-342-0770
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Fax | 918-342-0087
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Provider Business Mailing Address
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Address Line | 3100 MEDICAL PKWY
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City | CLAREMORE
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State | OK
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Zip | 74017-1088
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Country | US
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Telephone | 918-342-0770
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Fax | 918-342-0087
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 0050297
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License Number State | OK
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