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General NPI Number Information
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NPI Number | 1629855630
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Entity Type | Individual
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Provider Name | HOLLY RENEE HARBER
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Gender | Female
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 6925 S CANTON AVE
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City | TULSA
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State | OK
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Zip | 74136-3418
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Country | US
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Telephone | 918-932-8164
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Fax | 314-375-8570
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Provider Business Mailing Address
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Address Line | 5830 E 99TH ST
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City | TULSA
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State | OK
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Zip | 74137-5501
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Country | US
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Telephone | 316-322-0768
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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