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General NPI Number Information
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NPI Number | 1194703454
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Entity Type | Individual
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Provider Name | FREDRICK JOHN HUSKEY D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/06/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 3820 E. 51 ST STE A
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City | TULSA
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State | OK
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Zip | 74135
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Country | US
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Telephone | 918-747-0939
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Fax | 918-747-3939
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Provider Business Mailing Address
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Address Line | 3820 E. 51 ST STE A
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City | TULSA
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State | OK
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Zip | 74135
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Country | US
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Telephone | 918-747-0939
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Fax | 918-747-3939
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3054
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 3054
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 3054
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License Number State | OK
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