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General NPI Number Information
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NPI Number | 1265846349
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Entity Type | Individual
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Provider Name | CHRISTOPHER LEE HENRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 920 STANTON L YOUNG BLVD WP2140
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5036
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Country | US
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Telephone | 405-271-6308
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Fax |
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Provider Business Mailing Address
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Address Line | 3500 GASTON AVE
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City | DALLAS
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State | TX
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Zip | 75246-2017
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Country | US
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Telephone | 214-820-2362
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 30786
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License Number State | OK
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