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General NPI Number Information
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NPI Number | 1548176555
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Entity Type | Individual
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Provider Name | REBECCA RAY
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Gender | Female
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 345 S LYNN LANE RD
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City | TULSA
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State | OK
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Zip | 74108-5111
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Country | US
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Telephone | 918-694-6637
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Fax |
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Provider Business Mailing Address
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Address Line | 345 S LYNN LANE RD
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City | TULSA
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State | OK
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Zip | 74108-5111
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Country | US
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Telephone |
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 0081164
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License Number State | OK
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