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General NPI Number Information
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NPI Number | 1801253216
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Entity Type | Individual
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Provider Name | KRISTI DAWN PRATT APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 3401 W GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-6332
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Country | US
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Telephone | 580-355-8620
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Fax |
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Provider Business Mailing Address
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Address Line | 12259 PINNACLE LN
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City | ELGIN
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State | OK
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Zip | 73538-2193
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Country | US
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Telephone | 580-580-5123
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 0102395
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 224704
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 224704
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License Number State | OK
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