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General NPI Number Information
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NPI Number | 1427234566
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Entity Type | Organization
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Legal Business Name | TULSA HOSPITALISTS
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Dates
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Enumeration Date | 01/19/2008
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 15608 TRADITIONS DR
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City | EDMOND
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State | OK
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Zip | 73013-1150
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Country | US
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Telephone | 918-720-6361
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Fax |
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Provider Business Mailing Address
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Address Line | 15608 TRADITIONS DR
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City | EDMOND
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State | OK
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Zip | 73013-1150
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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 | PHYSICIAN
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Name | DR. NAZIR AHMED BALOUCH
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Credential | M.D
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Telephone | 918-720-6361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 26219
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License Number State | OK
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