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General NPI Number Information
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NPI Number | 1942164140
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE GLEASON PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 101 N GREENWOOD AVE STE 131
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City | TULSA
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State | OK
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Zip | 74120-1444
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Country | US
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Telephone | 918-640-0684
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Fax |
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Provider Business Mailing Address
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Address Line | 9916 S 107TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-5117
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Country | US
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Telephone | 713-444-9588
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Fax |
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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 | OK
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