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General NPI Number Information
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NPI Number | 1356848675
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Entity Type | Organization
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Legal Business Name | DENNIS & DENNIS HEALTHCARE
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 1000 N LEE AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1036
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Country | US
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Telephone | 405-503-6048
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Fax |
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Provider Business Mailing Address
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Address Line | 419 W GRAY ST
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City | NORMAN
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State | OK
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Zip | 73069-7117
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Country | US
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Telephone | 405-503-6048
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RYAN DENNIS
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Credential | MD
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Telephone | 405-503-6048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 27136
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License Number State | OK
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