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General NPI Number Information
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NPI Number | 1003572967
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Entity Type | Organization
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Legal Business Name | AMALIK LLC
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 7021 S MEMORIAL DR STE 269A
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City | TULSA
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State | OK
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Zip | 74133-2025
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Country | US
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Telephone | 918-984-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 7021 S MEMORIAL DR STE 269A
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City | TULSA
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State | OK
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Zip | 74133-2025
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Country | US
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Telephone | 918-984-9060
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABBAS MALIK
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Credential | OD
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Telephone | 918-984-9060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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