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General NPI Number Information
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NPI Number | 1134395940
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Entity Type | Organization
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Legal Business Name | J FREDERICK MCNEER MD PLLC
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 6585 S YALE AVE STE 317
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City | TULSA
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State | OK
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Zip | 74136-8344
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Country | US
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Telephone | 918-809-4304
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Fax | 918-749-5456
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Provider Business Mailing Address
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Address Line | 6585 S YALE AVE STE 317
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City | TULSA
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State | OK
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Zip | 74136-8344
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Country | US
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Telephone | 918-809-4304
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Fax | 918-749-5456
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Authorized Official
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Title or Position | PRESIDENT
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Name | J FREDERICK MCNEER
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Credential | MD
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Telephone | 918-809-4304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 11650
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License Number State | OK
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