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General NPI Number Information
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NPI Number | 1205263126
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Entity Type | Organization
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Legal Business Name | TULSA RETINA CONSULTANTS PLLC
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Dates
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Enumeration Date | 10/09/2013
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Last Update Date | 10/09/2013
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Provider Practice Location Address
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Address Line | 220 W 71ST ST
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City | TULSA
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State | OK
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Zip | 74132-2011
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Country | US
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Telephone | 918-747-7799
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Fax | 918-743-8624
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Provider Business Mailing Address
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Address Line | 220 W 71ST ST
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City | TULSA
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State | OK
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Zip | 74132-2011
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Country | US
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Telephone | 918-747-7799
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Fax | 918-743-8624
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS A FINLEY
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Credential | M.D.
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Telephone | 918-747-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 24476
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License Number State |
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