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General NPI Number Information
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NPI Number | 1205570454
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Entity Type | Organization
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Legal Business Name | LABCORP OKLAHOMA, INC.
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 2408 E 81ST ST STE 105
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City | TULSA
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State | OK
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Zip | 74137-4200
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Country | US
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Telephone | 189-744-2505
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8013
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City | BURLINGTON
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State | NC
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Zip | 27216-8013
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | KIMBERLY T WILLIAMS
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Credential |
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Telephone | 336-436-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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