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General NPI Number Information
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NPI Number | 1386185353
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Entity Type | Organization
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Legal Business Name | NEUROPATHY TREATMENT CLINIC OF OKLAHOMA LLC
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Dates
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Enumeration Date | 03/10/2017
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 4636 S HARVARD AVE STE 102
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City | TULSA
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State | OK
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Zip | 74135-2908
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Country | US
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Telephone | 918-708-1816
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Fax |
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Provider Business Mailing Address
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Address Line | 4636 S HARVARD AVE STE 102
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City | TULSA
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State | OK
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Zip | 74135-2908
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Country | US
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Telephone | 918-708-1816
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | JAMES WARREN LINN
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Credential |
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Telephone | 918-708-1816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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