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General NPI Number Information
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NPI Number | 1538788393
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Entity Type | Individual
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Provider Name | CHRISTINE MAYAKO REITH APRN
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Gender | Female
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 3366 NW EXPRESSWAY STE 660
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4416
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Country | US
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Telephone | 405-947-3345
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Fax | 405-949-0849
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Provider Business Mailing Address
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Address Line | 3001 QUAIL SPRINGS PKWY FL 5
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-2640
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Country | US
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Telephone | 405-947-3345
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Fax | 405-949-0849
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | R0110294
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License Number State | OK
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