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General NPI Number Information
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NPI Number | 1023970712
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Entity Type | Organization
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Legal Business Name | CORE PRIMARY CARE PARTNERS LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 100 NE 85TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-3916
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Country | US
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Telephone | 405-205-7186
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Fax |
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Provider Business Mailing Address
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Address Line | 14800 SEDONA DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73142-7837
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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 | OWNER
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Name | MR. STEPHEN ZRENDA
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Credential | DO
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Telephone | 405-205-7186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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