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General NPI Number Information
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NPI Number | 1669946786
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Entity Type | Individual
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Provider Name | DAWN CHAREL COOPER A.P.R.N., CNP
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Gender | Female
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Dates
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Enumeration Date | 01/12/2019
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 6600 S YALE AVE STE 1400
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City | TULSA
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State | OK
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Zip | 74136-3331
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Country | US
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Telephone | 882-247-0125
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Fax | 918-502-8001
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Provider Business Mailing Address
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Address Line | 6655 S YALE AVE
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City | TULSA
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State | OK
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Zip | 74136-3326
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 109541
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 200091
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License Number State | OK
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