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General NPI Number Information
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NPI Number | 1881277184
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Entity Type | Individual
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Provider Name | ANDREA NICOLE CHERRY NP-C
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Gender | Female
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 1245 S UTICA AVE
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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 | 918-579-3850
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Fax | 918-579-3859
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Provider Business Mailing Address
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Address Line | 1245 S UTICA AVE
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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 | 918-579-3850
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Fax | 918-579-3859
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 220043
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71011110A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71011110A
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License Number State | IN
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