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NPI 1114923448

NPI 1114923448 : FRED GARFINKEL M.D. : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1114923448
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    Entity Type          |    Individual 
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    Provider Name        |    FRED GARFINKEL M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/22/2005
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    Last Update Date     |    07/28/2014
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Provider Practice Location Address
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    Address Line         |    591 E 36TH ST N 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74106-1812
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    Country              |    US
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    Telephone            |    918-619-8700
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    Fax                  |    918-634-7884
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Provider Business Mailing Address
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    Address Line         |    PO BOX 268838 
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73126-8838
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    Country              |    US
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    Telephone            |    918-660-3632
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    Fax                  |    918-660-3631
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    11772
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    License Number State |    OK
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