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General NPI Number Information
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NPI Number | 1891222030
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Entity Type | Organization
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Legal Business Name | QUICKCARE APRN-CNP, LLC
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Dates
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Enumeration Date | 05/18/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 709 BETTER NOW PLZ
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City | ADA
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State | OK
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Zip | 74820-2279
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Country | US
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Telephone | 580-310-9899
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Fax |
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Provider Business Mailing Address
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Address Line | 709 BETTER NOW PLZ
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City | ADA
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State | OK
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Zip | 74820-2279
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Country | US
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Telephone | 580-310-9899
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MICHELLE ANN COLE
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Credential | APRN-CNP
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Telephone | 580-310-9899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RO102439
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License Number State | OK
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