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General NPI Number Information
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NPI Number | 1063718674
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Entity Type | Organization
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Legal Business Name | OKLAHOMA FOOT AND ANKLE ASSOCIATES PLLC
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Dates
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Enumeration Date | 01/28/2011
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 3001 S TELEPHONE ROAD SUITE B
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City | MOORE
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State | OK
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Zip | 73160-5424
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Country | US
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Telephone | 405-340-9251
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Fax | 405-340-0686
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Provider Business Mailing Address
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Address Line | 600 W 15TH ST
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City | EDMOND
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State | OK
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Zip | 73013-3617
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Country | US
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Telephone | 405-340-9251
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Fax | 405-340-0686
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Authorized Official
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Title or Position | ACCOUNTS MANAGER
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Name | DEBBIE J DOWDY
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Credential |
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Telephone | 405-794-6691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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