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General NPI Number Information
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NPI Number | 1639012586
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Entity Type | Organization
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Legal Business Name | FAMCORE HEALTH, LLC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 413 E HINCHLEY ST
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City | MCLOUD
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State | OK
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Zip | 74851-8140
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Country | US
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Telephone | 405-630-5093
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Fax |
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Provider Business Mailing Address
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Address Line | 34505 INDEPENDENCE ST
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City | SHAWNEE
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State | OK
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Zip | 74804-8908
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Country | US
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Telephone | 405-630-5093
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | RORY BREWSTER
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Credential | APRN
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Telephone | 405-630-5093
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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 |
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License Number State |
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