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General NPI Number Information
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NPI Number | 1386833408
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Entity Type | Individual
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Provider Name | KRISTOPHER R AVANT DO
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Gender | Male
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 1805 COMMONS CIR STE 100-C
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City | YUKON
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State | OK
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Zip | 73099-9519
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Country | US
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Telephone | 405-265-0165
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Fax | 405-265-0897
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Provider Business Mailing Address
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Address Line | 8100 S WALKER AVE BLDG A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-9475
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Country | US
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Telephone | 405-632-4468
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Fax | 405-619-4487
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4499
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 4499
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License Number State | OK
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