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General NPI Number Information
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NPI Number | 1588184014
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Entity Type | Organization
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Legal Business Name | NEWSTEP PLC
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9306 S TOLEDO CT STE 200
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City | TULSA
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State | OK
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Zip | 74137-2746
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Country | US
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Telephone | 918-584-8880
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Fax | 918-584-8881
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Provider Business Mailing Address
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Address Line | 9306 S TOLEDO CT STE 200
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City | TULSA
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State | OK
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Zip | 74137-2746
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Country | US
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Telephone | 918-584-8880
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Fax | 918-584-8881
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARL MILLER
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Credential | DPM
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Telephone | 918-584-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 277
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License Number State | OK
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