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General NPI Number Information
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NPI Number | 1851185946
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Entity Type | Organization
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Legal Business Name | AINE MEDICAL INC
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 2819 EPPERLY DR
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City | DEL CITY
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State | OK
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Zip | 73115-3319
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Country | US
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Telephone | 405-493-9179
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 ISIM RD
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City | NORMAN
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State | OK
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Zip | 73026-8625
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Country | US
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Telephone | 405-312-2775
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | TINA JOY
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Credential | NURSE PRACTITIONER
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Telephone | 405-312-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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