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General NPI Number Information
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NPI Number | 1730548686
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Entity Type | Organization
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Legal Business Name | ARBUCKLE FAMILY HEALTH, APRN-CNP, LLC
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Dates
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Enumeration Date | 02/21/2016
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 321 E MAIN ST
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City | DAVIS
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State | OK
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Zip | 73030-1905
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Country | US
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Telephone | 580-319-6504
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Fax |
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Provider Business Mailing Address
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Address Line | 106 SOUTH 7TH STREET
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City | DAVIS
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State | OK
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Zip | 73030-1905
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Country | US
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Telephone | 580-319-6504
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Fax | 866-682-7623
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | KRISTY M MEEKS
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Credential | APRN
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Telephone | 580-319-6504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | OK67413
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License Number State | OK
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