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General NPI Number Information
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NPI Number | 1104912674
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Entity Type | Organization
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Legal Business Name | TULSA CITY-COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 315 S UTICA AVE
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City | TULSA
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State | OK
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Zip | 74104-2203
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Country | US
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Telephone | 918-594-4706
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Fax | 918-594-4889
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Provider Business Mailing Address
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Address Line | 315 S UTICA AVE
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City | TULSA
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State | OK
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Zip | 74104-2203
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Country | US
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Telephone | 918-594-4706
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Fax | 918-594-4889
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Authorized Official
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Title or Position | DIVISON CHIEF, COMMUNITY HEALTH
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Name | PRISCILLA HAYNES
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Credential |
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Telephone | 918-594-4822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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License Number |
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License Number State |
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