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General NPI Number Information
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NPI Number | 1225082795
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Entity Type | Individual
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Provider Name | RALPH DOUGLAS ENSLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 6151 S YALE AVE STE 100A
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City | TULSA
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State | OK
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Zip | 74136-1929
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Country | US
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Telephone | 918-494-8500
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Fax | 918-307-5578
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Provider Business Mailing Address
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Address Line | 6600 S YALE AVE STE 1400
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City | TULSA
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State | OK
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Zip | 74136-3331
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Country | US
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Telephone | 918-488-6001
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Fax |
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 18574
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 18574
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 18574
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License Number State | OK
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