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General NPI Number Information
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NPI Number | 1295731792
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Entity Type | Organization
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Legal Business Name | PLAZA MEDICAL GROUP PC
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3433 NW 56TH ST STE 400
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4430
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Country | US
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Telephone | 405-948-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 3545 NW 58TH ST STE 450
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4726
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Country | US
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Telephone | 405-948-4040
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PAUL SZYMANSKI
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Credential | CEO
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Telephone | 405-948-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology 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 | OK
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number |
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number |
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License Number State | OK
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | OK
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Taxonomy #7
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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 | OK
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Taxonomy #8
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State | OK
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Taxonomy #9
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State | OK
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Taxonomy #10
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State | OK
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Taxonomy #11
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State | OK
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Taxonomy #12
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State | OK
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Taxonomy #13
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State | OK
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