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General NPI Number Information
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NPI Number | 1699458943
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Entity Type | Organization
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Legal Business Name | PSYCHIATRY & MORE
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Dates
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Enumeration Date | 08/11/2023
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 8801 S OLIE AVE STE 4
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-9362
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Country | US
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Telephone | 405-768-4904
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Fax |
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Provider Business Mailing Address
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Address Line | 632 N BROADWAY AVE
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City | SHAWNEE
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State | OK
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Zip | 74801-6202
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Country | US
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Telephone | 405-768-4904
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Fax | 405-768-4934
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Authorized Official
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Title or Position | NURSE PRACTITIONER-OWNER
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Name | BRENDA GAYLE JAMES
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Credential | APRN
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Telephone | 405-768-4904
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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 |
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License Number State |
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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 |
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License Number State |
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