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General NPI Number Information
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NPI Number | 1851897474
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Entity Type | Individual
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Provider Name | JAMI MICHELLE REED
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Gender | Female
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Dates
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Enumeration Date | 04/03/2018
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 2256 NW 164TH
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City | EDMOND
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State | OK
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Zip | 73013-1227
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Country | US
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Telephone | 405-276-8076
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Fax |
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Provider Business Mailing Address
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Address Line | 2256 NW 164TH STREET
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City | EDMOND
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State | OK
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Zip | 73013-1227
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Country | US
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Telephone | 405-276-8076
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Fax | 405-276-8077
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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