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General NPI Number Information
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NPI Number | 1518960756
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Entity Type | Individual
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Provider Name | DANIEL K. WOOSTER DO
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 6465 S YALE AVE STE 704
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City | TULSA
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State | OK
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Zip | 74136-7822
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Country | US
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Telephone | 918-502-4250
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Fax | 918-502-4255
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Provider Business Mailing Address
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Address Line | 6600 S YALE AVE STE 1400
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City | TULSA
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State | OK
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Zip | 74136-3331
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Country | US
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Telephone | 888-247-0125
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Fax | 918-502-8210
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2739
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License Number State | OK
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