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General NPI Number Information
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NPI Number | 1477572089
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Entity Type | Individual
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Provider Name | JAMES AARON HENLEY D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 3863 S 103RD EAST AVE
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City | TULSA
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State | OK
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Zip | 74146-2443
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Country | US
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Telephone | 918-745-0800
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Fax | 918-745-0028
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Provider Business Mailing Address
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Address Line | 4125 S MINGO RD
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City | TULSA
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State | OK
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Zip | 74146-3633
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Country | US
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Telephone | 918-608-0348
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Fax | 918-923-3884
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4195
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License Number State | OK
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