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General NPI Number Information
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NPI Number | 1992460729
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Entity Type | Individual
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Provider Name | RYANN TARRON APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 200 S 3RD ST
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City | MCALESTER
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State | OK
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Zip | 74501-5420
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Country | US
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Telephone | 918-426-2442
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Fax |
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Provider Business Mailing Address
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Address Line | 3730 GRAY LOOP UNIT D
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City | JBER
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State | AK
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Zip | 99506-4623
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Country | US
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Telephone | 918-429-3010
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 205979
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License Number State | OK
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