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General NPI Number Information
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NPI Number | 1447148093
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Entity Type | Organization
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Legal Business Name | IES ER OKLAHOMA LLC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 6161 S YALE AVE
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City | TULSA
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State | OK
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Zip | 74136-1902
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Country | US
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Telephone | 918-494-2200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1985
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-1985
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Country | US
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Telephone | 469-420-5527
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Fax |
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Authorized Official
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Title or Position | AO
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Name | NESTOR ZENAROSA
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Credential | MD
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Telephone | 469-420-5544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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