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General NPI Number Information
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NPI Number | 1962351130
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Entity Type | Organization
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Legal Business Name | RCVR PERFORMANCE CLINIC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 1210 MCGEE DR
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City | NORMAN
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State | OK
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Zip | 73072-5846
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Country | US
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Telephone | 405-856-9909
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Fax |
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Provider Business Mailing Address
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Address Line | 6608 N WESTERN AVE # 1413
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7326
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Country | US
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Telephone | 405-856-9909
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHAELYN NICOLE SHARBUTT
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Credential | PT, DPT
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Telephone | 580-551-9851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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