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General NPI Number Information
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NPI Number | 1396683900
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Entity Type | Individual
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Provider Name | KAIMEN STREMEL CSFA
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Gender | Male
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 8801 S 101ST EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-5716
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Country | US
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Telephone | 918-294-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 N 7TH ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-2565
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Country | US
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Telephone | 918-443-7970
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Fax |
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 100252012
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License Number State | OK
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