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General NPI Number Information
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NPI Number | 1588520308
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Entity Type | Individual
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Provider Name | EMILY ANNE VINO
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Gender | Female
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 1076 W MAPLE AVE
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City | DUNCAN
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State | OK
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Zip | 73533-4787
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Country | US
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Telephone | 405-442-4940
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Fax |
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Provider Business Mailing Address
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Address Line | 313 W CEDAR AVE
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City | DUNCAN
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State | OK
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Zip | 73533-5835
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Country | US
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Telephone | 701-306-6129
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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