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General NPI Number Information
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NPI Number | 1114267549
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Entity Type | Organization
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Legal Business Name | OKLAHOMA MEDICAL RESEARCH FOUNDATION
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Dates
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Enumeration Date | 02/21/2013
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Last Update Date | 02/21/2013
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Provider Practice Location Address
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Address Line | 825 NE 13TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5005
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Country | US
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Telephone | 405-271-7210
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Fax |
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Provider Business Mailing Address
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Address Line | 825 NE 13TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5005
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Country | US
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Telephone | 405-271-7210
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. MICHAEL 'CHIP' MORGAN
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Credential |
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Telephone | 405-271-7410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | E1235
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 156548
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 25222
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License Number State | OK
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