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General NPI Number Information
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NPI Number | 1669486858
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Entity Type | Organization
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Legal Business Name | INTEGRIS CARDIOVSACULAR PHYSICIANS
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 3433 NW 56TH ST SUITE 580
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4455
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Country | US
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Telephone | 405-917-3518
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Fax |
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Provider Business Mailing Address
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Address Line | 3433 NW 56TH ST SUITE 400
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4455
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Country | US
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Telephone | 405-951-4360
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PAUL SZYMANSKI
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Credential |
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Telephone | 405-951-4360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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