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General NPI Number Information
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NPI Number | 1609236694
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Entity Type | Individual
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Provider Name | ANGELA JOYCE HLADIK APRN
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Gender | Female
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 3300 NW EXPRESSWAY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4418
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Country | US
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Telephone | 405-949-3011
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Fax |
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Provider Business Mailing Address
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Address Line | 2829 WOODCREEK RD
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City | MIDWEST CITY
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State | OK
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Zip | 73110-3125
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Country | US
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Telephone | 912-401-4545
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | R0102261
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R102261
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License Number State | OK
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