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General NPI Number Information
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NPI Number | 1700543402
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Entity Type | Organization
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Legal Business Name | NP2GO
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 800 W 18TH ST STE 140
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City | EDMOND
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State | OK
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Zip | 73013-3759
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Country | US
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Telephone | 405-696-7003
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Fax | 541-325-4041
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Provider Business Mailing Address
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Address Line | 800 W 18TH ST STE 140
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City | EDMOND
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State | OK
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Zip | 73013-3759
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Country | US
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Telephone | 405-696-7003
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Fax | 541-325-4041
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Authorized Official
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Title or Position | PRESIDENT
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Name | KARA DE LA PENA
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Credential | APRN-CNP
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Telephone | 405-514-8735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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