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General NPI Number Information
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NPI Number | 1609465269
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Entity Type | Organization
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Legal Business Name | OKLAHOMA SPINE SURGERY CENTER
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Dates
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Enumeration Date | 01/18/2021
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 13313 N MERIDIAN AVE STE B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8316
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Country | US
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Telephone | 405-849-6979
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Fax | 405-849-9264
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Provider Business Mailing Address
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Address Line | 13313 N MERIDIAN AVE STE B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8316
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Country | US
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Telephone | 405-849-6979
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Fax | 405-849-9264
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. TERRA PAPPE
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Credential |
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Telephone | 405-849-6979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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