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General NPI Number Information
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NPI Number | 1285891069
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Entity Type | Organization
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Legal Business Name | GOODWILL INDUSTRIES OF TULSA INC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 2800 SOUTHWEST BLVD
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City | TULSA
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State | OK
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Zip | 74107-3817
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Country | US
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Telephone | 918-584-7291
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 SOUTHWEST BLVD
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City | TULSA
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State | OK
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Zip | 74107-3817
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID E OLIVER
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Credential |
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Telephone | 918-584-7291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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