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General NPI Number Information
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NPI Number | 1033576418
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Entity Type | Organization
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Legal Business Name | ATLAS MEDICAL SERVICES, PLLC
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3345 S HARVARD AVE STE 202
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City | TULSA
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State | OK
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Zip | 74135-1809
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Country | US
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Telephone | 918-877-0070
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Fax | 918-398-6821
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Provider Business Mailing Address
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Address Line | 3345 S HARVARD AVE STE 202
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City | TULSA
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State | OK
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Zip | 74135-1809
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Country | US
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Telephone | 918-877-0070
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Fax | 918-398-6821
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC FLEGEL
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Credential | DO
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Telephone | 918-877-0070
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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 | 3402
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License Number State | OK
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