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NPI 1306031216

NPI 1306031216 : DR. BRIAN L .FLOURNOY, P.C. : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1306031216
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. BRIAN L .FLOURNOY, P.C. 
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Dates
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    Enumeration Date     |    09/13/2007
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    Last Update Date     |    02/23/2010
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Provider Practice Location Address
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    Address Line         |    3314 E 46TH ST SUITE 102
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74135-2926
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    Country              |    US
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    Telephone            |    918-728-8800
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    Fax                  |    918-728-8801
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Provider Business Mailing Address
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    Address Line         |    3314 E 46TH ST SUITE 102
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74135-2926
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    Country              |    US
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    Telephone            |    918-728-8800
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    Fax                  |    918-728-8801
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Authorized Official
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    Title or Position    |    DOCTOR OF CHIROPRACTIC
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    Name                 |    MR. BRIAN L. FLOURNOY 
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    Credential           |    D.C.
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    Telephone            |    918-728-8800
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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       |    3208
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    License Number State |    OK
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