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General NPI Number Information
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NPI Number | 1164496238
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Entity Type | Individual
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Provider Name | MICHAEL SEAN OBRIEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 3110 SW 89TH ST SUITE 200C
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-7920
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Country | US
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Telephone | 405-759-2663
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Fax | 405-759-3827
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Provider Business Mailing Address
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Address Line | PO BOX 890358
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City | OKLAHOMA CITY
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State | OK
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Zip | 73189-0358
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Country | US
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Telephone | 405-759-2663
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Fax | 405-759-3827
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 3481
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License Number State | OK
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