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General NPI Number Information
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NPI Number | 1629305149
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Entity Type | Organization
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Legal Business Name | GREATER TULSA FOOT & ANKLE CENTER, PLLC
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 3540 E. 31ST STREET SUITE 2, GREATER TULSA FOOT & ANKLE CENTER, PLLC
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City | TULSA
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State | OK
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Zip | 74135
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Country | US
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Telephone | 918-747-8997
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Fax | 918-744-8011
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Provider Business Mailing Address
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Address Line | 3540 E. 31ST STREET SUITE 2, GREATER TULSA FOOT & ANKLE CENTER, PLLC
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City | TULSA
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State | OK
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Zip | 74135
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Country | US
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Telephone | 918-747-8997
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Fax | 918-744-8011
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFF FINKENSTAEDT
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Credential | DPM
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Telephone | 918-747-8997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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