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General NPI Number Information
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NPI Number | 1003081878
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Entity Type | Organization
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Legal Business Name | STEPHEN JAMES GERKIN DDS
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 4433 S HARVARD AVE
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City | TULSA
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State | OK
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Zip | 74135-2604
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Country | US
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Telephone | 918-742-8775
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Fax | 918-742-7281
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Provider Business Mailing Address
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Address Line | 4433 S. HARVARD AVE.
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City | TULSA
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State | OK
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Zip | 74135
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Country | US
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Telephone | 918-742-8775
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Fax | 918-742-7281
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Authorized Official
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Title or Position | FINANCIAL SECRETARY
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Name | MRS. DEBORAH M BROWN
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Credential |
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Telephone | 918-742-8775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 3738
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License Number State | OK
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