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General NPI Number Information
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NPI Number | 1558909002
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Entity Type | Organization
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Legal Business Name | OKLAHOMA PULMONARY AND CRITICAL CARE PLLC
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 3524 NW 56TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4518
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Country | US
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Telephone | 405-606-6937
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 NW 187TH ST
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City | EDMOND
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State | OK
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Zip | 73012-6203
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Country | US
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Telephone | 405-761-3199
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHOAIB AHMAD
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Credential | MD
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Telephone | 405-761-3199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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