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General NPI Number Information
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NPI Number | 1588558852
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Entity Type | Individual
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Provider Name | SYDNEY ELLIOTT DNP, APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 12697 E 51ST ST
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City | TULSA
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State | OK
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Zip | 74146-6236
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Country | US
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Telephone | 918-505-3200
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Fax | 918-505-3232
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Provider Business Mailing Address
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Address Line | 19932 E 44TH PL S
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City | BROKEN ARROW
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State | OK
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Zip | 74014-8219
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Country | US
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Telephone | 620-605-8770
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 221670
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License Number State | OK
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