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General NPI Number Information
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NPI Number | 1659511954
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Entity Type | Organization
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Legal Business Name | HEALTHY OPTIONS FOR PREVENTION AND EFFECTIVE TREATMENT OKLAHOMA
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 02/02/2011
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Provider Practice Location Address
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Address Line | 5350 S WESTERN AVE 305
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-4520
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Country | US
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Telephone | 405-632-2949
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Fax | 877-245-1779
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Provider Business Mailing Address
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Address Line | 5350 S WESTERN AVE 305
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-4520
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Country | US
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Telephone | 405-632-2949
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Fax | 877-245-1779
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Authorized Official
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Title or Position | PRINCIPAL MEMBER
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Name | MELANESE PARKS
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Credential |
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Telephone | 405-431-0232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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