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General NPI Number Information
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NPI Number | 1396437604
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Entity Type | Organization
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Legal Business Name | REHAB DR YARROZU LLC
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 1200 W ALBANY DR
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City | BROKEN ARROW
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State | OK
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Zip | 74012
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Country | US
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Telephone | 918-957-3000
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Fax | 918-957-3395
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Provider Business Mailing Address
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Address Line | PO BOX 332
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City | MUSKOGEE
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State | OK
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Zip | 74402
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Country | US
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Telephone | 918-957-3000
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Fax | 918-957-3395
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | ARUNA YARROZU
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Credential | MD
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Telephone | 310-592-8372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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