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General NPI Number Information
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NPI Number | 1417364738
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Entity Type | Individual
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Provider Name | VANESSA JOANN HARVEY APRN
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Gender | Female
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Dates
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Enumeration Date | 07/18/2014
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Last Update Date | 06/06/2023
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Provider Practice Location Address
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Address Line | 502 N BROADWAY ST
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City | TECUMSEH
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State | OK
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Zip | 74873-2018
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Country | US
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Telephone | 405-598-7270
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Fax | 405-834-9853
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Provider Business Mailing Address
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Address Line | 502 N BROADWAY ST
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City | TECUMSEH
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State | OK
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Zip | 74873-2018
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Country | US
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Telephone | 405-598-7270
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Fax | 405-383-4985
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R0086658
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License Number State | OK
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