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General NPI Number Information
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NPI Number | 1265977615
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Entity Type | Organization
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Legal Business Name | TSAW LLC
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 08/22/2019
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Provider Practice Location Address
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Address Line | 6949-51 E. 71ST ST.
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City | TULSA
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State | OK
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Zip | 74145
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Country | US
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Telephone | 918-808-8825
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Fax |
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Provider Business Mailing Address
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Address Line | 6949-51 E. 71ST STREET
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City | TULSA
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State | OK
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Zip | 74145
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Country | US
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Telephone | 918-808-7725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT THOMAS KIRKPATRICK
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Credential | D.C.
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Telephone | 918-808-7722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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