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General NPI Number Information
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NPI Number | 1598847337
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Entity Type | Organization
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Legal Business Name | NORMAN REGIONAL SPORTS & OCCUPATIONAL MEDICIN
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 724 24TH AVE NW SUITE # 200
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City | NORMAN
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State | OK
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Zip | 73069-6218
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Country | US
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Telephone | 405-360-6868
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Fax | 405-360-9860
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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 | 405-360-6868
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Fax | 405-360-9860
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Authorized Official
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Title or Position | VICE PRESIDENT, REVENUE CYCLE
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Name | MS. MEEGAN CARTER
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Credential |
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Telephone | 405-307-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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