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General NPI Number Information
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NPI Number | 1780184754
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Entity Type | Individual
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Provider Name | PAULA JEAN ROTHER APRN
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Gender | Female
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Dates
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Enumeration Date | 02/16/2018
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 2760 WASHINGTON DR STE 110
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City | NORMAN
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State | OK
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Zip | 73069-1009
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Country | US
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Telephone | 405-360-2827
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Fax | 405-283-1124
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Provider Business Mailing Address
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Address Line | 30754 DRAKE CT
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City | NORMAN
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State | OK
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Zip | 73072-9208
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Country | US
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Telephone | 405-664-8549
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 77254
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License Number State | OK
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