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General NPI Number Information
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NPI Number | 1518929645
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Entity Type | Individual
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Provider Name | BRUCE C SAXON M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | DEPT 1654
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City | TULSA
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State | OK
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Zip | 74182-0001
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Country | US
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Telephone | 334-279-1450
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Fax | 334-395-4110
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Provider Business Mailing Address
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Address Line | 8131 S MEMORIAL DR SUITE 107
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City | TULSA
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State | OK
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Zip | 74133-4347
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Country | US
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Telephone | 918-252-5114
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Fax | 334-395-4110
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 15325
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License Number State | OK
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