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General NPI Number Information
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NPI Number | 1649935560
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Entity Type | Organization
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Legal Business Name | BAMF NURSING LLC
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 14636 COTTONWOOD
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City | EDMOND
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State | OK
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Zip | 73025-8568
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Country | US
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Telephone | 405-315-0141
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Fax |
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Provider Business Mailing Address
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Address Line | 14636 COTTONWOOD
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City | EDMOND
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State | OK
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Zip | 73025-8568
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Country | US
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Telephone | 405-315-0141
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL TODD ALLEN
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Credential | RN
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Telephone | 405-315-0141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WP0000X
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Taxonomy Name | Pain Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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