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General NPI Number Information
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NPI Number | 1679141626
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Entity Type | Individual
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Provider Name | CATHERINE MARIE FORD MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 124 E MAIN ST
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City | HULBERT
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State | OK
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Zip | 74441-8902
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Country | US
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Telephone | 918-772-2879
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 W LOCUST ST STE 102
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City | STILWELL
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State | OK
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Zip | 74960-3276
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Country | US
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Telephone | 918-696-4064
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Fax | 918-696-4170
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F11200878
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200505
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License Number State | OK
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