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General NPI Number Information
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NPI Number | 1588042485
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Entity Type | Individual
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Provider Name | JEFFREY DON MCBRIDE M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 1000 NE 13TH ST STE 1C
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5040
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Country | US
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Telephone | 405-271-6110
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Fax | 405-271-7216
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Provider Business Mailing Address
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Address Line | 1200 CHILDRENS AVE FL 11
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-4637
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Country | US
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Telephone | 405-764-8066
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Fax | 405-271-1001
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 37752
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License Number State | OK
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