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General NPI Number Information
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NPI Number | 1003866286
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Entity Type | Individual
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Provider Name | TERENCE E GREWE D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 3316 E 21ST ST SUITE A
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City | TULSA
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State | OK
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Zip | 74114-1967
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Country | US
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Telephone | 918-749-3533
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Fax | 918-749-9789
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Provider Business Mailing Address
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Address Line | 3316 E 21ST ST SUITE A
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City | TULSA
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State | OK
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Zip | 74114-1967
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Country | US
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Telephone | 918-749-3533
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Fax | 918-749-9789
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2368
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License Number State | OK
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