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General NPI Number Information
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NPI Number | 1497851620
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Entity Type | Organization
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Legal Business Name | VIOLA PEREZ PC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 5930 E 31ST ST SUITE 500
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City | TULSA
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State | OK
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Zip | 74135-5107
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Country | US
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Telephone | 918-712-7021
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Fax | 918-712-9326
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Provider Business Mailing Address
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Address Line | 3054 S MADISON AVE
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City | TULSA
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State | OK
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Zip | 74114-5231
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Country | US
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Telephone | 918-712-7021
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Fax | 918-712-9326
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MS. VIOLA PEREZ
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Credential |
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Telephone | 918-712-7021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1279
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License Number State | OK
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