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General NPI Number Information
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NPI Number | 1548110612
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Entity Type | Individual
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Provider Name | ANUSHA SHRESTHA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 6401 SW LEE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-9678
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Country | US
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Telephone | 580-699-5139
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Fax | 580-699-5140
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Provider Business Mailing Address
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Address Line | 1626 NW 37TH ST
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City | LAWTON
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State | OK
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Zip | 73505-3883
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Country | US
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Telephone | 405-659-9172
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 226559
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License Number State | OK
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