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General NPI Number Information
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NPI Number | 1083154215
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Entity Type | Individual
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Provider Name | MICHAEL HIEBERT D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2017
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 6600 S YALE AVE STE 650
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City | TULSA
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State | OK
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Zip | 74136-3342
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Country | US
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Telephone | 918-502-7800
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Fax | 918-502-7815
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Provider Business Mailing Address
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Address Line | 6600 S YALE AVE STE 1400
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City | TULSA
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State | OK
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Zip | 74136-3331
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Country | US
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Telephone | 918-499-4855
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Fax | 918-488-6098
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 6417
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 6417
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License Number State | OK
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