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General NPI Number Information
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NPI Number | 1396119111
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Entity Type | Organization
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Legal Business Name | JOSEPH FLEMING PLLC
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 1515 E. ROCK CREEK ROAD SUITE 140
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City | NORMAN
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State | OK
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Zip | 73071
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Country | US
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Telephone | 405-501-4384
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Fax |
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Provider Business Mailing Address
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Address Line | 769 SW 19TH ST APT 24106
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City | MOORE
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State | OK
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Zip | 73160-3046
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Country | US
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Telephone | 405-501-4384
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JOSEPH FLEMING
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Credential | DDS
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Telephone | 405-501-4384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6189
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License Number State | OK
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