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NPI 1326536871

NPI 1326536871 : CAMILLE MEEHAN DO : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1326536871
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    Entity Type          |    Individual 
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    Provider Name        |    CAMILLE MEEHAN DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/30/2018
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    Last Update Date     |    11/15/2022
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Provider Practice Location Address
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    Address Line         |    2000 S WHEELING AVE STE 800 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74104-5462
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    Country              |    US
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    Telephone            |    918-747-9641
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    Fax                  |    918-746-2252
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Provider Business Mailing Address
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    Address Line         |    2000 S WHEELING AVE STE 800 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74104-5462
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    Country              |    US
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    Telephone            |    918-747-9641
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    Fax                  |    918-746-2252
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    6706
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    License Number State |    OK
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