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NPI 1578568275

NPI 1578568275 : JAMES BISHOP LOCKHART JR. M.D. : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1578568275
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES BISHOP LOCKHART JR. M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/17/2005
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    Last Update Date     |    03/19/2015
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Provider Practice Location Address
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    Address Line         |    2448 E 81ST ST SUITE 1100
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74137-4230
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    Country              |    US
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    Telephone            |    918-505-3400
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    Fax                  |    918-508-7070
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Provider Business Mailing Address
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    Address Line         |    2448 E 81ST ST SUITE 1100
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74137-4250
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    Country              |    US
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    Telephone            |    918-505-3400
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    Fax                  |    918-508-7070
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    9463
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    License Number State |    OK
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