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General NPI Number Information
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NPI Number | 1558226332
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Entity Type | Individual
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Provider Name | MICHAEL BROWN
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Gender | Male
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 6111 E SKELLY DR
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City | TULSA
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State | OK
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Zip | 74135-6100
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Country | US
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Telephone | 844-458-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 5007 S 76TH EAST AVE APT B
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City | TULSA
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State | OK
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Zip | 74145-6206
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Country | US
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Telephone | 572-235-7065
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | OK
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