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General NPI Number Information
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NPI Number | 1558746958
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Entity Type | Individual
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Provider Name | ABIGAIL ELIZABETH FERRILL APRN-CNS
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Gender | Female
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 4800 W QUINCY ST STE 100
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City | BROKEN ARROW
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State | OK
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Zip | 74012-5925
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Country | US
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Telephone | 539-367-2530
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Fax | 539-367-2373
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Provider Business Mailing Address
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Address Line | 4800 W QUINCY ST STE 100
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City | BROKEN ARROW
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State | OK
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Zip | 74012-5925
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Country | US
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Telephone | 539-367-2530
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Fax | 539-367-2373
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R0113256
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | R0113256
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License Number State | OK
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