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General NPI Number Information
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NPI Number | 1659217446
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Entity Type | Organization
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Legal Business Name | CREOKS
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Dates
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Enumeration Date | 04/25/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 23 E ROSS AVE
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City | SAPULPA
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State | OK
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Zip | 74066-6423
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Country | US
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Telephone | 918-227-2016
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Fax |
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Provider Business Mailing Address
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Address Line | 19058 S 81ST WEST AVE
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City | MOUNDS
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State | OK
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Zip | 74047-4568
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Country | US
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Telephone | 918-934-2640
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Fax |
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Authorized Official
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Title or Position | CASE MANAGER
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Name | SYDNEY MARIE BYERS
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Credential | BYERS
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Telephone | 918-934-2640
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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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