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General NPI Number Information
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NPI Number | 1518296151
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Entity Type | Individual
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Provider Name | JENNIFER RENAE MARLER CASE MANAGER
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Gender | Female
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 07/30/2019
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Provider Practice Location Address
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Address Line | 7777 E ROUTE 66
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City | EL RENO
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State | OK
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Zip | 73036-0000
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Country | US
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Telephone | 405-422-8800
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Fax | 405-422-8818
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Provider Business Mailing Address
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Address Line | 4913 W RENO AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-6339
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Country | US
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Telephone | 405-948-4900
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Fax | 409-948-4919
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 56438
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License Number State | OK
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