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General NPI Number Information
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NPI Number | 1265207294
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC AND TRAUMA INSTITUTE LLC
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 3130 SW 89TH ST STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-7909
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Country | US
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Telephone | 405-252-7484
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Fax | 405-252-7490
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Provider Business Mailing Address
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Address Line | PO BOX 258881
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City | OKLAHOMA CITY
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State | OK
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Zip | 73125-8881
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Country | US
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Telephone | 405-252-7484
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Fax | 405-252-7490
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Authorized Official
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Title or Position | MD/OWNER
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Name | ARTHUR H CONLEY III
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Credential | MD
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Telephone | 405-252-7484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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