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General NPI Number Information
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NPI Number | 1942648324
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Entity Type | Individual
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Provider Name | ANGELA DAWN VINES APRN-CNS
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Gender | Female
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 3500 HEALTHPLEX PKWY SUITE 200
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City | NORMAN
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State | OK
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Zip | 73072-9738
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Country | US
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Telephone | 405-515-2260
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Fax | 405-307-5610
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Provider Business Mailing Address
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Address Line | PO BOX 1330
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City | NORMAN
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State | OK
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Zip | 73070-1330
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Country | US
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Telephone | 405-515-2260
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Fax | 405-307-6660
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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 | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | R0058473
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License Number State | OK
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