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General NPI Number Information
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NPI Number | 1417236712
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Entity Type | Individual
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Provider Name | LAVERNE WESTMORELAND APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 11/11/2013
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Provider Practice Location Address
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Address Line | 1985 W 33RD ST
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City | EDMOND
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State | OK
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Zip | 73013-3875
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Country | US
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Telephone | 405-726-9735
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Fax |
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Provider Business Mailing Address
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Address Line | 1015 IRVINE TER
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City | EDMOND
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State | OK
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Zip | 73025-2638
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Country | US
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Telephone | 405-996-8026
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 101937
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License Number State | OK
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