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General NPI Number Information
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NPI Number | 1386448181
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Entity Type | Organization
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Legal Business Name | INTEGRATED MEDICAL INCORPORATED
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 11011 E 41ST ST
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City | TULSA
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State | OK
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Zip | 74146-2714
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Country | US
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Telephone | 918-878-7800
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Fax | 405-755-8001
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Provider Business Mailing Address
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Address Line | PO BOX 14740
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City | OKLAHOMA CITY
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State | OK
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Zip | 73113-0740
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Country | US
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Telephone | 405-755-8000
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Fax | 405-755-8001
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONNIE SOMERVILLE
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Credential |
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Telephone | 405-755-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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