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General NPI Number Information
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NPI Number | 1689240392
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Entity Type | Individual
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Provider Name | CAROLINE GRAHAM DO
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Gender | Female
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 8211 E REGAL PL STE 100
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City | TULSA
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State | OK
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Zip | 74133-7181
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Country | US
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Telephone | 918-387-8373
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Fax | 405-429-8534
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Provider Business Mailing Address
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Address Line | 8211 E REGAL PL STE 100
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City | TULSA
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State | OK
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Zip | 74133-7181
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Country | US
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Telephone | 918-387-8373
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Fax | 405-429-8534
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 7774
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 7774
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License Number State | OK
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