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NPI 1548075492

NPI 1548075492 : LEHI TOUNHIA VANG PA-C : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1548075492
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    Entity Type          |    Individual 
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    Provider Name        |    LEHI TOUNHIA VANG PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/10/2025
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    Last Update Date     |    02/13/2025
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Provider Practice Location Address
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    Address Line         |    2408 E 81ST ST STE 110 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74137-4215
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    Country              |    US
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    Telephone            |    405-615-2760
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    228 W DEER VALLEY DR 
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    City                 |    CATOOSA
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    State                |    OK
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    Zip                  |    74015-2351
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    Country              |    US
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    Telephone            |    918-607-4095
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    Fax                  |    
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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        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    5482
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    License Number State |    OK
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