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General NPI Number Information
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NPI Number | 1427791680
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Entity Type | Individual
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Provider Name | LAUREN PAIGE BERRY AGNP-CNP
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Gender | Female
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 8913 NE 23RD ST STE B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73141-2200
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Country | US
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Telephone | 405-259-9127
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 N MAY AVE STE 310
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4291
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 207601
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License Number State | OK
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