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General NPI Number Information
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NPI Number | 1518772755
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Entity Type | Organization
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Legal Business Name | METABOLIC CENTERS FOR EXCELLENCE LLC
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 8660 S PEORIA AVE
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City | TULSA
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State | OK
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Zip | 74132-2827
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Country | US
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Telephone | 918-622-4782
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Fax |
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Provider Business Mailing Address
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Address Line | 8660 S PEORIA AVE
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City | TULSA
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State | OK
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Zip | 74132-2827
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE BROWN
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Credential |
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Telephone | 360-710-4039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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