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NPI 1487662250

NPI 1487662250 : OKLAHOMA ARTHRITIS CENTER, P.C. : EDMOND, OK

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General NPI Number Information
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    NPI Number           |    1487662250
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    Entity Type          |    Organization 
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    Legal Business Name  |    OKLAHOMA ARTHRITIS CENTER, P.C. 
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Dates
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    Enumeration Date     |    08/04/2006
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    Last Update Date     |    07/31/2025
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Provider Practice Location Address
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    Address Line         |    1701 RENAISSANCE BLVD STE 110 
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73013-3084
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    Country              |    US
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    Telephone            |    405-844-4978
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    Fax                  |    405-844-0562
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Provider Business Mailing Address
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    Address Line         |    1701 RENAISSANCE BLVD STE 110 
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73013-3084
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    Country              |    US
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    Telephone            |    405-844-4978
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    Fax                  |    405-844-0562
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. CRAIG W. CARSON 
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    Credential           |    M.D.
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    Telephone            |    405-844-4978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    293D00000X
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    Taxonomy Name        |    Physiological Laboratory
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    License Number       |    17781
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    License Number State |    OK
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