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General NPI Number Information
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NPI Number | 1437246741
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Entity Type | Organization
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Legal Business Name | BEWLEY CHIROPRACTIC OF TULSA INC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 5802 S MEMORIAL
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City | TULSA
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State | OK
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Zip | 74145
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Country | US
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Telephone | 918-627-1100
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Fax | 918-627-6504
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Provider Business Mailing Address
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Address Line | 5802 S MEMORIAL
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City | TULSA
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State | OK
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Zip | 74145
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Country | US
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Telephone | 918-627-1100
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Fax | 918-627-6504
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Authorized Official
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Title or Position | CHRIOPRACTIC PHYSICIAN
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Name | MR. RICK ALAN BEWLEY
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Credential | DC
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Telephone | 918-627-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3063BEWLEY
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3811
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License Number State | OK
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