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General NPI Number Information
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NPI Number | 1275422321
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Entity Type | Organization
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Legal Business Name | OKLAHOMA BIRDIE HEALTH, P.C.
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 201 ROBERT S KERR AVE STE 700
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-4203
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Country | US
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Telephone | 201-687-9627
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Fax |
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Provider Business Mailing Address
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Address Line | 99 WALL ST # 895
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City | NEW YORK
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State | NY
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Zip | 10005-4301
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Country | US
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Telephone | 201-687-9627
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STELLA GANDHI
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Credential | MD
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Telephone | 201-687-9627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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