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General NPI Number Information
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NPI Number | 1598306938
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Entity Type | Individual
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Provider Name | MARIA COLMENAREZ-MORALES APRN
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Gender | Female
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 504 WILLIAMS
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City | MAYSVILLE
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State | OK
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Zip | 73057-3679
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Country | US
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Telephone | 405-756-1414
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Fax | 405-756-1162
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Provider Business Mailing Address
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Address Line | 217 S MAIN ST
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City | LINDSAY
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State | OK
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Zip | 73052-5633
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Country | US
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Telephone | 405-756-1414
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Fax | 405-756-1162
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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 | 81098
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License Number State | OK
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