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General NPI Number Information
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NPI Number | 1043780042
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Entity Type | Organization
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Legal Business Name | TOUCHSTONE IMAGING OF OKLAHOMA, LLC
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Dates
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Enumeration Date | 12/03/2018
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 4901 N MAY AVE STE 100
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-6041
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Country | US
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Telephone | 405-943-0055
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746517
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City | ATLANTA
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State | GA
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Zip | 30374-6517
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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 | DIRECTOR OF CREDENTIALING
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Name | KATRINA ROELLE
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Credential |
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Telephone | 614-689-1691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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