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General NPI Number Information
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NPI Number | 1508852682
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Entity Type | Individual
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Provider Name | LINDA CATHLEEN OLIVER C.R.N.A.
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Gender | Female
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1400 E DOWNING ST
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City | TAHLEQUAH
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State | OK
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Zip | 74464-3324
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Country | US
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Telephone | 918-456-2112
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Fax |
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Provider Business Mailing Address
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Address Line | 206 SUMMIT RIDGE DR
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City | TAHLEQUAH
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State | OK
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Zip | 74464-9284
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Country | US
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Telephone | 918-456-4025
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R0070384
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 019026
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License Number State | OK
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