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General NPI Number Information
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NPI Number | 1316044027
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Entity Type | Organization
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Legal Business Name | PEDIATRIX MEDICAL GROUP OF OKLAHOMA, P.C.
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 3300 NW EXPRESSWAY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4418
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Country | US
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Telephone | 405-949-6051
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Fax | 405-949-6977
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Provider Business Mailing Address
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Address Line | 1301 CONCORD TER
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City | SUNRISE
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State | FL
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Zip | 33323-2843
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Country | US
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Telephone | 954-384-0175
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Fax | 954-851-1948
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | KEVIN M PITZER
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Credential |
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Telephone | 954-384-0175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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