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General NPI Number Information
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NPI Number | 1033255039
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Entity Type | Organization
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Legal Business Name | SAINTS MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 02/11/2010
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Provider Practice Location Address
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Address Line | 608 NW 9TH ST SUITE 1100
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1068
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Country | US
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Telephone | 405-231-3000
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Fax | 405-231-3073
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Provider Business Mailing Address
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Address Line | PO BOX 268824
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-8824
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Country | US
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Telephone | 405-231-3000
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Fax | 405-231-3073
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Authorized Official
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Title or Position | CLIENT ACCOUNT ADMINISTRATOR
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Name | KATY BAIN
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Credential |
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Telephone | 405-231-3817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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