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General NPI Number Information
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NPI Number | 1356176150
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Entity Type | Organization
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Legal Business Name | SUNSHINE COMMUNITY SERVICES OF TULSA INC.
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 2235 E 6TH ST
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City | TULSA
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State | OK
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Zip | 74104-3233
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Country | US
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Telephone | 918-550-2294
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Fax | 539-476-9577
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Provider Business Mailing Address
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Address Line | 2235 E 6TH ST
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City | TULSA
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State | OK
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Zip | 74104-3233
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Country | US
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Telephone | 918-550-2294
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Fax | 539-476-9577
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Authorized Official
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Title or Position | DIRECTOR
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Name | ROBERT NORMAN
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Credential |
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Telephone | 918-851-7619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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