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General NPI Number Information
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NPI Number | 1073408001
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Entity Type | Organization
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Legal Business Name | OKLAHOMA SLEEP & WELLNESS CLINIC, PLLC
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 5350 S WESTERN AVE STE 315
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-4530
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Country | US
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Telephone | 405-831-6965
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Fax | 405-953-8153
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Provider Business Mailing Address
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Address Line | 5350 S WESTERN AVE STE 315
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-4530
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Country | US
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Telephone | 405-777-2727
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Fax | 405-953-8153
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Authorized Official
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Title or Position | MEDICAL ASSISTANT
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Name | HEATHER GREGG
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Credential | MA
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Telephone | 918-290-0374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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