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General NPI Number Information
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NPI Number | 1306854765
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC AND SPORTS MEDICINE CENTER-NORMAN, P.C.
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 825 E ROBINSON ST
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City | NORMAN
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State | OK
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Zip | 73071-6610
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Country | US
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Telephone | 405-364-7900
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Fax | 405-364-6719
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Provider Business Mailing Address
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Address Line | 825 E ROBINSON ST
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City | NORMAN
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State | OK
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Zip | 73071-6610
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Country | US
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Telephone | 405-364-7900
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Fax | 405-364-6719
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Authorized Official
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Title or Position | CREDENTIALING
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Name | EMILY WAINNER
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Credential |
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Telephone | 405-310-6881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine 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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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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 | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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