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General NPI Number Information
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NPI Number | 1609736644
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Entity Type | Individual
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Provider Name | MRS. SUMMER MACKLAINE WOOD
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Gender | Female
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 1907 W 33RD ST STE 110
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City | EDMOND
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State | OK
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Zip | 73013-3898
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Country | US
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Telephone | 405-347-8084
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Fax |
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Provider Business Mailing Address
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Address Line | 19917 ADAGIO LN
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City | EDMOND
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State | OK
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Zip | 73012-5213
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Country | US
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Telephone | 405-347-8084
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | OK
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