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General NPI Number Information
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NPI Number | 1003990342
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Entity Type | Organization
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Legal Business Name | OCHSNER CHIROPRACTIC CENTRE, PC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 7877 S SHERIDAN RD
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City | TULSA
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State | OK
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Zip | 74133-3456
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Country | US
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Telephone | 918-492-1618
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Fax |
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Provider Business Mailing Address
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Address Line | 7877 S SHERIDAN RD
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City | TULSA
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State | OK
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Zip | 74133-3456
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Country | US
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Telephone | 918-492-1618
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | KURT L OCHSNER
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Credential | DC
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Telephone | 918-492-1618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3070
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License Number State | OK
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