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General NPI Number Information
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NPI Number | 1437652740
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Entity Type | Organization
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Legal Business Name | BNS ASSOCIATES LLC
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Dates
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Enumeration Date | 03/13/2018
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Last Update Date | 05/09/2018
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Provider Practice Location Address
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Address Line | 2553 S KELLY AVE STE 110
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City | EDMOND
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State | OK
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Zip | 73013-3890
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Country | US
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Telephone | 405-321-6984
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Fax |
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Provider Business Mailing Address
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Address Line | 2553 S KELLY AVE STE 100
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City | EDMOND
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State | OK
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Zip | 73013-3894
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Country | US
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Telephone | 405-321-6984
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MARY SAMANTHA SPANN
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Credential |
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Telephone | 405-321-6984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 20680
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 199
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 22780
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License Number State | OK
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