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General NPI Number Information
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NPI Number | 1598068769
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Entity Type | Organization
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Legal Business Name | DR CHRIS W REGIER PC
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Dates
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Enumeration Date | 12/10/2010
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 1201 S DOUGLAS BLVD STE L
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City | MIDWEST CITY
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State | OK
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Zip | 73130-5239
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Country | US
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Telephone | 405-736-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 S DOUGLAS BLVD STE L
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City | MIDWEST CITY
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State | OK
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Zip | 73130-5239
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Country | US
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Telephone | 405-736-9300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRIS W REGIER
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Credential | D.O.
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Telephone | 405-736-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 4987
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License Number State | OK
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