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General NPI Number Information
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NPI Number | 1780531624
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Entity Type | Organization
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Legal Business Name | HEAL CITY HEALTH AND WELLNESS
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 4200 CARRIAGE WAY
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City | WEATHERFORD
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State | OK
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Zip | 73096-9614
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Country | US
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Telephone | 405-814-1915
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Fax | 405-814-1951
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Provider Business Mailing Address
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Address Line | 4200 CARRIAGE WAY
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City | WEATHERFORD
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State | OK
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Zip | 73096-9614
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Country | US
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Telephone | 405-814-1915
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Fax | 405-814-1951
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | OLAIDE OLUFUNMILAYO OWOLOYE
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Credential | APRN,FNP-C, FMACP
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Telephone | 405-814-1915
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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 |
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License Number State |
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