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General NPI Number Information
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NPI Number | 1114511680
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Entity Type | Organization
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Legal Business Name | MEDICAL FITNESS INSTITUTE OF OKLAHOMA INC.
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 1609 N STRONG BLVD STE 500A
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City | MCALESTER
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State | OK
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Zip | 74501-3839
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Country | US
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Telephone | 918-715-3114
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Fax | 918-715-3114
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Provider Business Mailing Address
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Address Line | 1609 N STRONG BLVD STE 500A
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City | MCALESTER
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State | OK
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Zip | 74501-3839
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Country | US
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Telephone | 918-715-3114
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Fax | 918-715-3114
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Authorized Official
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Title or Position | CFO- CHIEF FINANCIAL OFFICER
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Name | MR. BILL MOSS
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Credential |
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Telephone | 918-715-3114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number |
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License Number State |
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