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General NPI Number Information
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NPI Number | 1730992835
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Entity Type | Individual
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Provider Name | TERESA SCHULTZ
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1000 N LEE AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1036
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Country | US
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Telephone | 405-272-6155
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Fax |
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Provider Business Mailing Address
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Address Line | 9908 SW 14TH ST
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City | YUKON
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State | OK
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Zip | 73099-7670
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Country | US
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Telephone | 405-863-1213
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 221732
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R0135202
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License Number State | OK
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