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General NPI Number Information
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NPI Number | 1053971598
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Entity Type | Individual
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Provider Name | GARRETT MICHAEL OKUN DC
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Gender | Male
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1585 S PLAZA WAY STE 150
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-7156
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Country | US
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Telephone | 928-226-1556
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Fax | 855-821-1779
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Provider Business Mailing Address
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Address Line | 710 N BEAVER ST BLDG 3
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-3147
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Country | US
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Telephone | 282-261-5569
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Fax | 855-821-1779
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR010224
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License Number State | GA
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