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General NPI Number Information
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NPI Number | 1982561445
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Entity Type | Individual
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Provider Name | BREANNA HILL
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 220 S WEWOKA AVE
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City | WEWOKA
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State | OK
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Zip | 74884-2640
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Country | US
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Telephone | 405-257-9030
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Fax |
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Provider Business Mailing Address
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Address Line | 824 N BURNS ST
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City | HOLDENVILLE
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State | OK
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Zip | 74848-3833
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Country | US
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Telephone |
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | OK
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Taxonomy #2
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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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