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General NPI Number Information
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NPI Number | 1417902263
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Entity Type | Organization
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Legal Business Name | OKLAHOMA ONCOLOGY INC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6585 S YALE AVE STE 701
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City | TULSA
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State | OK
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Zip | 74136-8384
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Country | US
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Telephone | 918-494-8275
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Fax | 918-494-8207
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Provider Business Mailing Address
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Address Line | 6585 S YALE AVE STE 701
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City | TULSA
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State | OK
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Zip | 74136-8384
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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 | MEDICAL ONCOLOGIST
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Name | JOSEPH LYNCH
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Credential |
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Telephone | 918-494-8275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 21082
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License Number State | OK
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