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General NPI Number Information
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NPI Number | 1376732354
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Entity Type | Organization
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Legal Business Name | HARVEY PAYNE
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 33 S SHERIDAN RD
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City | TULSA
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State | OK
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Zip | 74112-1716
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Country | US
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Telephone | 918-835-8585
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Fax | 918-835-8596
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Provider Business Mailing Address
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Address Line | 33 S SHERIDAN RD
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City | TULSA
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State | OK
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Zip | 74112-1716
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Country | US
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Telephone | 918-835-8585
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Fax | 918-835-8596
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. HARVEY O. PAYNE
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Credential | DC
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Telephone | 918-835-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3677
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License Number State | OK
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