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General NPI Number Information
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NPI Number | 1417772625
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Entity Type | Organization
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Legal Business Name | TBI ASSOCIATES LLC
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 820 NW 13TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-6827
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Country | US
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Telephone | 405-943-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 820 NW 13TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-6827
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PATTY HOSKINS
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Credential |
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Telephone | 405-206-2378
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0301X
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Taxonomy Name | Brain Injury Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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