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General NPI Number Information
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NPI Number | 1407678006
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Entity Type | Individual
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Provider Name | BRANITA DAWN JAYNE
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Gender | Female
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Dates
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Enumeration Date | 10/26/2024
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Last Update Date | 10/26/2024
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Provider Practice Location Address
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Address Line | 4401 W MEMORIAL RD STE 143
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-1787
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Country | US
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Telephone | 405-486-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 2660 S LUTHER RD
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City | HARRAH
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State | OK
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Zip | 73045-6368
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Country | US
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Telephone | 405-823-7214
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN2382427
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 10025322
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | R0091363
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License Number State | OK
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