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General NPI Number Information
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NPI Number | 1740728971
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Entity Type | Organization
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Legal Business Name | BRITTNEY WICKS, LLC
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Dates
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Enumeration Date | 02/08/2017
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 303 POTOMAC DR
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City | NORMAN
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State | OK
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Zip | 73072-4569
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Country | US
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Telephone | 405-410-3172
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Fax |
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Provider Business Mailing Address
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Address Line | 303 POTOMAC DR
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City | NORMAN
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State | OK
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Zip | 73072-4569
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Country | US
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Telephone | 405-410-3172
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | BRITTNEY KAY WICKS
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Credential | APRN CNP
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Telephone | 405-410-3172
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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 | 91050
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License Number State | OK
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