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General NPI Number Information
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NPI Number | 1104816826
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Entity Type | Organization
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Legal Business Name | THERAPY LINKS PHYSICAL REHABILITATION PLLC
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 3946 S HUDSON AVE
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City | TULSA
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State | OK
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Zip | 74135-5608
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Country | US
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Telephone | 918-622-1242
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Fax | 918-622-1291
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Provider Business Mailing Address
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Address Line | PO BOX 33223
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City | TULSA
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State | OK
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Zip | 74153-1223
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Country | US
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Telephone | 918-622-1242
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Fax | 918-622-1291
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Authorized Official
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Title or Position | HALF OWNER OF CLINIC MEMBER PLLC
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Name | MRS. BETH ANN COFFMAN
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Credential | MS OTRL
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Telephone | 918-622-1242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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