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General NPI Number Information
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NPI Number | 1811314909
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Entity Type | Individual
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Provider Name | BRANDI BAXTER CNP
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Gender | Female
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 04/14/2016
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Provider Practice Location Address
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Address Line | 1245 S UTICA AVE SUITE 103
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City | TULSA
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State | OK
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Zip | 74104-4214
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Country | US
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Telephone | 918-579-3840
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Fax | 918-579-3849
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Provider Business Mailing Address
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Address Line | 1245 S UTICA AVE SUITE 103
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City | TULSA
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State | OK
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Zip | 74104-4214
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Country | US
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Telephone | 918-579-3840
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Fax | 918-579-3849
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 96038
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 96038
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License Number State | OK
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