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General NPI Number Information
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NPI Number | 1326148123
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Entity Type | Organization
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Legal Business Name | JEFFREY S HALSELL DO PLLC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 12/10/2021
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Provider Practice Location Address
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Address Line | 9308 S TOLEDO AVE
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City | TULSA
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State | OK
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Zip | 74137-2739
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Country | US
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Telephone | 918-728-8020
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Fax | 918-728-8019
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Provider Business Mailing Address
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Address Line | 9308 S TOLEDO AVE
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City | TULSA
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State | OK
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Zip | 74137-2739
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Country | US
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Telephone | 918-615-6581
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Fax | 918-893-1242
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Authorized Official
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Title or Position | DO
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Name | JEFFREY S HALSELL
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Credential | DO
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Telephone | 918-728-8020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 3729
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License Number State | OK
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