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General NPI Number Information
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NPI Number | 1932403318
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Entity Type | Individual
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Provider Name | DEBRA BEISTLE SCHROEDER ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/29/2010
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 1201 W MAIN ST
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City | JENKS
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State | OK
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Zip | 74037-2311
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Country | US
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Telephone | 918-518-5770
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Fax | 918-518-5773
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Provider Business Mailing Address
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Address Line | 1201 W MAIN ST
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City | JENKS
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State | OK
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Zip | 74037-2311
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Country | US
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Telephone | 918-518-5770
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Fax | 918-518-5773
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R35175
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | NA
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 10928150
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License Number State | OK
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