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General NPI Number Information
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NPI Number | 1013882083
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Entity Type | Organization
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Legal Business Name | OSU CENTER FOR HEALTH SCIENCES
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 300 ROCKEFELLER DR
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City | MUSKOGEE
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State | OK
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Zip | 74401-5075
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Country | US
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Telephone | 918-682-5501
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Fax |
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Provider Business Mailing Address
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Address Line | 700 N GREENWOOD AVE RM 372A
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City | TULSA
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State | OK
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Zip | 74106-0702
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PATRICIA KATHLEEN WINDLE
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Credential |
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Telephone | 918-561-8306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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