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General NPI Number Information
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NPI Number | 1649460197
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Entity Type | Individual
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Provider Name | JASON WARNER SIMS D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3540 E 31ST ST
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City | TULSA
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State | OK
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Zip | 74135-1500
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Country | US
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Telephone | 918-984-9240
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Fax |
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Provider Business Mailing Address
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Address Line | 1332 S HOUSTON AVE
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City | TULSA
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State | OK
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Zip | 74127-9120
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Country | US
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Telephone | 918-519-7711
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4555
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License Number State | OK
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