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NPI 1801657606

NPI 1801657606 : ANNA TURNER-CRANE CTRS/L : CATOOSA, OK

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General NPI Number Information
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    NPI Number           |    1801657606
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    Entity Type          |    Individual 
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    Provider Name        |    ANNA TURNER-CRANE CTRS/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/18/2024
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    Last Update Date     |    01/18/2024
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Provider Practice Location Address
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    Address Line         |    1801 N HIGHWAY 66 
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    City                 |    CATOOSA
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    State                |    OK
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    Zip                  |    74015-3067
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    Country              |    US
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    Telephone            |    928-232-9402
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 828 
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    City                 |    CATOOSA
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    State                |    OK
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    Zip                  |    74015-0828
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    Country              |    US
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    Telephone            |    
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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        |    225800000X
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    Taxonomy Name        |    Recreation Therapist
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    License Number       |    253
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    License Number State |    OK
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