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General NPI Number Information
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NPI Number | 1225140114
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Entity Type | Organization
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Legal Business Name | BIO-MEDICAL APPLICATIONS OF OKLAHOMA, INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 5147 S GARNETT RD SUITE C
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City | TULSA
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State | OK
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Zip | 74146-5915
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Country | US
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Telephone | 918-250-3427
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Fax |
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Provider Business Mailing Address
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Address Line | 5147 S GARNETT RD SUITE C
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City | TULSA
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State | OK
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Zip | 74146-5915
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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 | TREASURER
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Name | MARK FAWCETT
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Credential |
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Telephone | 781-699-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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