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General NPI Number Information
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NPI Number | 1760840425
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Entity Type | Individual
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Provider Name | WHITNEY FRASER APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 1227 S URBANA AVE
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City | TULSA
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State | OK
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Zip | 74112-5227
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Country | US
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Telephone | 918-519-0554
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Fax |
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Provider Business Mailing Address
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Address Line | 1522 S GILLETTE AVE
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City | TULSA
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State | OK
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Zip | 74104-4906
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Country | US
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Telephone | 918-519-0554
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 63826
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 219616
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License Number State | OK
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