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General NPI Number Information
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NPI Number | 1528642642
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Entity Type | Organization
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Legal Business Name | OU HEALTH PARTNERS, INC
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Dates
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Enumeration Date | 05/06/2021
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 1200 CHILDRENS AVE STE 11200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-4637
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Country | US
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Telephone | 405-271-3932
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Fax | 405-271-3064
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Provider Business Mailing Address
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Address Line | 1200 CHILDRENS AVE FL 11
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-4637
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Country | US
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Telephone | 405-764-7066
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Fax | 405-271-1001
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Authorized Official
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Title or Position | CHIEF PHYSICIAN EXECUTIVE
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Name | DR. PHILIP CAMERON MANTOR
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Credential | MD
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Telephone | 405-397-2503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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