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General NPI Number Information
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NPI Number | 1417170325
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Entity Type | Organization
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Legal Business Name | COGITO ERGO SUM PLLC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1408 S DENVER AVE
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City | TULSA
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State | OK
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Zip | 74119-3423
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Country | US
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Telephone | 918-808-2473
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Fax |
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Provider Business Mailing Address
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Address Line | 1233 E 31ST CT
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City | TULSA
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State | OK
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Zip | 74105-2007
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Country | US
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Telephone | 918-808-2473
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. DAVID V. EAKIN II
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Credential | M.D.
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Telephone | 918-808-2473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 21962
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License Number State | OK
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