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General NPI Number Information
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NPI Number | 1417767773
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Entity Type | Organization
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Legal Business Name | DONNASONS LLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 6010 S YALE AVE
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City | TULSA
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State | OK
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Zip | 74135-7412
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Country | US
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Telephone | 918-584-8781
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Fax |
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Provider Business Mailing Address
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Address Line | 6010 S YALE AVE
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City | TULSA
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State | OK
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Zip | 74135-7412
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Country | US
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Telephone | 918-584-8781
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | JAKE HOROWITZ
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Credential |
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Telephone | 203-231-2129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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