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General NPI Number Information
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NPI Number | 1629013453
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Entity Type | Organization
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Legal Business Name | TULSA ERGONOMIC CONSULTANTS, PLLC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 04/30/2012
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Provider Practice Location Address
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Address Line | 2417 E 53 ST
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City | TULSA
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State | OK
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Zip | 74105-6601
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Country | US
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Telephone | 918-712-8412
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Fax | 918-712-8413
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Provider Business Mailing Address
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Address Line | 2417 E 53 ST
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City | TULSA
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State | OK
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Zip | 74105-6601
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Country | US
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Telephone | 918-712-8412
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Fax | 918-712-8413
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Authorized Official
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Title or Position | OFFICE MGR
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Name | MRS. NANCY A CYR
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Credential |
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Telephone | 918-712-8412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 411
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3731
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License Number State | OK
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