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General NPI Number Information
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NPI Number | 1588286546
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Entity Type | Individual
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Provider Name | LANDON RIESENBERG D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 4401 S WESTERN AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-3413
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Country | US
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Telephone | 405-830-7582
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Fax |
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Provider Business Mailing Address
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Address Line | 9601 FOREST GLADE DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73151-9160
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Country | US
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Telephone | 405-830-7582
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 7313
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License Number State | OK
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