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General NPI Number Information
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NPI Number | 1306342621
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HEARING HEALTHCARE PC
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | 5022 E 101ST ST
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City | TULSA
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State | OK
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Zip | 74137-5803
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Country | US
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Telephone | 918-518-5391
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Fax | 918-209-5445
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Provider Business Mailing Address
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Address Line | 5022 E 101ST ST
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City | TULSA
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State | OK
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Zip | 74137-5803
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Country | US
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Telephone | 918-518-5391
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Fax | 918-209-5445
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Authorized Official
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Title or Position | PRESIDENT
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Name | NAKIEA MARIE STRECKER
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Credential |
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Telephone | 918-209-5114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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