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General NPI Number Information
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NPI Number | 1275607251
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Entity Type | Organization
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Legal Business Name | OKLAHOMA EM-1 MEDICAL SERVICES, P.C.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 1800 W UNIVERSITY BLVD
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City | DURANT
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State | OK
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Zip | 74701-3006
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Country | US
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Telephone | 580-924-3080
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 MAIN ST 5200
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City | DALLAS
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State | TX
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Zip | 75201-4612
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Country | US
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Telephone | 214-712-2000
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Fax | 214-712-2444
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREGORY BYRNE
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Credential | MD
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Telephone | 214-712-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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