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General NPI Number Information
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NPI Number | 1316671969
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Entity Type | Organization
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Legal Business Name | FROST CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 6221 E 61ST ST
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City | TULSA
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State | OK
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Zip | 74136-2120
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Country | US
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Telephone | 918-231-4012
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Fax |
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Provider Business Mailing Address
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Address Line | 7201 S GARY PL
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City | TULSA
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State | OK
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Zip | 74136-5925
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. HYATT FROST
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Credential | DC
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Telephone | 918-231-4012
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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 |
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License Number State |
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