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General NPI Number Information
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NPI Number | 1760450472
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Entity Type | Individual
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Provider Name | ELIZABETH ROMANIK KINZIE MD
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Gender | Female
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 1084 NICKERSON ST
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City | WAYNOKA
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State | OK
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Zip | 73860
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Country | US
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Telephone | 580-824-2291
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Fax | 580-824-0429
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Provider Business Mailing Address
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Address Line | 3001 QUAIL SPRINGS PKWY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-2640
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Country | US
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Telephone | 405-945-4587
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Fax | 405-713-2735
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25482
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25482
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License Number State | OK
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