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General NPI Number Information
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NPI Number | 1609946102
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Entity Type | Individual
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Provider Name | MICHELLE R HARLEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 10512 N 110TH EAST AVE STE 300
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City | OWASSO
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State | OK
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Zip | 74055-6638
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Country | US
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Telephone | 918-376-8900
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Fax | 918-376-8990
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Provider Business Mailing Address
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Address Line | 7061 N SCISSORTAIL CT
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City | OWASSO
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State | OK
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Zip | 74055-8282
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Country | US
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Telephone | 918-260-3939
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | MIL1-0432-7188
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | R0078629
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License Number State | OK
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