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General NPI Number Information
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NPI Number | 1639594021
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Entity Type | Individual
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Provider Name | WESLEY TAYLOR-LEKITES
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Gender | Male
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 6418 N SANTA FE AVE SUITE C
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-9112
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Country | US
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Telephone | 405-242-2242
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Fax | 405-286-1730
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Provider Business Mailing Address
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Address Line | 3035 NW 63RD ST SUITE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-3607
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Country | US
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Telephone | 405-242-2242
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Fax | 405-286-1730
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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