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General NPI Number Information
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NPI Number | 1447836663
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Entity Type | Organization
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Legal Business Name | RURAL HEALTH AND VITALITY
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 19400 SW 44TH ST
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City | EL RENO
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State | OK
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Zip | 73036-8191
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Country | US
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Telephone | 405-414-4383
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Fax |
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Provider Business Mailing Address
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Address Line | 1621 E HWY 66 STE H
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City | EL RENO
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State | OK
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Zip | 73036-5715
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Country | US
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Telephone | 405-414-4383
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Fax | 949-561-5269
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Authorized Official
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Title or Position | OWNER
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Name | ALANA MCKINNEY
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Credential | FNP-C
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Telephone | 405-414-4383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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