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General NPI Number Information
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NPI Number | 1356971071
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Entity Type | Organization
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Legal Business Name | MANAGEMENT WORLDWIDE, LLC
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 4415 S HARVARD AVE STE 201
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City | TULSA
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State | OK
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Zip | 74135-2618
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Country | US
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Telephone | 918-895-9100
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Fax | 918-731-4521
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Provider Business Mailing Address
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Address Line | 13303 W MAPLE SUITE 139 #103
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City | WICHITA
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State | KS
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Zip | 67235
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Country | US
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Telephone | 316-633-1507
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JENNIFER RUBOTTOM
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Credential |
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Telephone | 316-633-1507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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