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General NPI Number Information
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NPI Number | 1417754581
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Entity Type | Individual
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Provider Name | CHRISTOPHER REX TERRY H.I.S.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 6922 S MINGO RD
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City | TULSA
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State | OK
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Zip | 74133-3216
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Country | US
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Telephone | 918-505-4212
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Fax | 918-505-4203
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Provider Business Mailing Address
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Address Line | 6922 S MINGO RD
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City | TULSA
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State | OK
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Zip | 74133-3216
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Country | US
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Telephone | 918-505-4212
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Fax | 918-505-4203
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1112
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License Number State | OK
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