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General NPI Number Information
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NPI Number | 1104609213
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Entity Type | Organization
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Legal Business Name | HOPE PSYCHIATRIC CLINIC OF TULSA, LLC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 9410 S ELWOOD AVE STE 101
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City | JENKS
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State | OK
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Zip | 74037-2366
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Country | US
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Telephone | 918-401-0772
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Fax | 918-612-9972
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Provider Business Mailing Address
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Address Line | 7714 S INDIAN AVE
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City | TULSA
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State | OK
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Zip | 74132-2841
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Country | US
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Telephone | 918-645-2018
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Fax | 918-612-9972
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. NATALIE WAKEFIELD VASSAR
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Credential | MD
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Telephone | 918-401-0772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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