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General NPI Number Information
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NPI Number | 1649441734
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Entity Type | Organization
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Legal Business Name | MUSKOGEE UROLOGY CLINIC
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/21/2008
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Provider Practice Location Address
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Address Line | 3336 W OKMULGEE ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-5069
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Country | US
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Telephone | 918-687-9725
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Fax |
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Provider Business Mailing Address
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Address Line | 3336 W OKMULGEE ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-5069
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Country | US
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Telephone | 918-687-9725
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JAMES TURLINGTON
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Credential | M.D.
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Telephone | 918-687-9725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 13016
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License Number State | OK
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