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General NPI Number Information
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NPI Number | 1497546493
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Entity Type | Individual
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Provider Name | ANNA GOMEZ RN
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Gender | Female
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 11011 S IRVING ST
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City | JENKS
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State | OK
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Zip | 74037-1653
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Country | US
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Telephone | 833-983-0484
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Fax |
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Provider Business Mailing Address
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Address Line | 8921 S MINGO RD
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City | TULSA
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State | OK
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Zip | 74133-5841
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Country | US
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Telephone | 918-252-8000
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | R0086493
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License Number State | OK
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