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General NPI Number Information
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NPI Number | 1417884321
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Entity Type | Organization
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Legal Business Name | PRIME MEDICAL AND WELLNESS LLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 2133 N KELLY AVE STE 100
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City | EDMOND
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State | OK
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Zip | 73003-0037
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Country | US
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Telephone | 405-315-2752
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31161
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City | EDMOND
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State | OK
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Zip | 73003-0020
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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 | OWNER
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Name | NITIN SAWHENY
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Credential | MD
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Telephone | 405-795-2119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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