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General NPI Number Information
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NPI Number | 1417598574
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Entity Type | Individual
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Provider Name | BARBRA LYNN CALDWELL APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2019
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 26945 E 143RD ST S
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City | COWETA
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State | OK
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Zip | 74429-6685
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Country | US
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Telephone | 918-694-1026
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Fax |
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Provider Business Mailing Address
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Address Line | 315 S UTICA AVE
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City | TULSA
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State | OK
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Zip | 74104-2203
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Country | US
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Telephone | 918-694-1026
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 86488
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 86488
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License Number State | OK
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