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General NPI Number Information
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NPI Number | 1538531306
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Entity Type | Individual
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Provider Name | JULIA DIAZ APRN
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Gender | Female
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 2011 W BROADWAY AVE
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City | SULPHUR
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State | OK
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Zip | 73086-4221
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Country | US
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Telephone | 580-622-4482
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Fax | 580-297-9113
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Provider Business Mailing Address
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Address Line | PO BOX 1109
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City | SULPHUR
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State | OK
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Zip | 73086-8109
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Country | US
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Telephone | 580-622-4482
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Fax | 580-297-9113
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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 | 90481
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 94081
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License Number State | OK
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