Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carson Blake Taber

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336741735

Carson Blake Taber is a Student in an Organized Health Care Education/Training Program in Edmond, Oklahoma. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

2735 Ashe Creek Dr
Edmond, OK 73034-5948
Phone: (405) 513-3079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1336741735
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 10, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing address2735 Ashe Creek Dr, Edmond, OK 73034-5948

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