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General NPI Number Information
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NPI Number | 1982198131
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Entity Type | Individual
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Provider Name | KARI L ELLIOTT DNP, CPNP-PC, AE-C
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Gender | Female
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 1908 N 14TH ST STE 207
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City | PONCA CITY
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State | OK
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Zip | 74601-2039
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Country | US
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Telephone | 580-762-9355
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Fax | 580-765-0336
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Provider Business Mailing Address
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Address Line | 3001 QUAIL SPRINGS PKWY FL 5
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-2640
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Country | US
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Telephone | 580-762-9355
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Fax | 580-765-0336
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 213340
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 213340
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License Number State | OK
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