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General NPI Number Information
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NPI Number | 1578884268
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Entity Type | Organization
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Legal Business Name | NORMAN HEART AND VASCULAR ASSOCIATES LLC
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 3500 HEALTHPLEX PKWY SUITE 200
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City | NORMAN
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State | OK
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Zip | 73072-9738
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Country | US
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Telephone | 405-515-2222
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Fax | 405-515-2249
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Provider Business Mailing Address
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Address Line | PO BOX 1330
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City | NORMAN
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State | OK
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Zip | 73070-1330
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Country | US
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Telephone | 405-307-1860
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Fax | 405-307-2049
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Authorized Official
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Title or Position | SR VP, COO
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Name | MR. GREG L TERRELL
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Credential |
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Telephone | 405-307-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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