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General NPI Number Information
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NPI Number | 1699464339
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Entity Type | Organization
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Legal Business Name | SLEEP SPECIALISTS OF NORTHERN OKLAHOMA PLLC
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 4524 GREEN COUNTRY RD
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City | EDMOND
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State | OK
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Zip | 73034-0897
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Country | US
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Telephone | 507-508-5343
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Fax |
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Provider Business Mailing Address
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Address Line | 4524 GREEN COUNTRY RD
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City | EDMOND
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State | OK
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Zip | 73034-0897
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Country | US
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Telephone | 507-508-5343
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/MEDICAL DIRECTOR
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Name | JARED R COLVERT
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Credential | DO
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Telephone | 580-366-1638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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