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General NPI Number Information
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NPI Number | 1194902296
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Entity Type | Organization
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Legal Business Name | TPG HOSPITAL LLC
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 9204 N MAY AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-4419
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Country | US
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Telephone | 405-848-1918
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Fax | 405-848-7537
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Provider Business Mailing Address
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Address Line | 9204 N MAY AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-4419
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Country | US
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Telephone | 405-848-1918
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Fax | 405-848-7537
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Authorized Official
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Title or Position | OFFICER / AUTHORIZED OFFICIAL
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Name | TERESA DANNA
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Credential |
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Telephone | 972-763-3890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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