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NPI 1689661530

NPI 1689661530 : FRANK E PELUSO DO : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1689661530
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    Entity Type          |    Individual 
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    Provider Name        |    FRANK E PELUSO DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/05/2005
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    Last Update Date     |    05/28/2019
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Provider Practice Location Address
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    Address Line         |    6160 S YALE AVE FL 1 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74136-1930
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    Country              |    US
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    Telephone            |    918-497-3300
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    Fax                  |    918-497-3365
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Provider Business Mailing Address
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    Address Line         |    6600 S YALE AVE STE 1200 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74136-3361
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    Country              |    US
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    Telephone            |    918-488-6045
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    Fax                  |    918-488-6098
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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        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    2892
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    License Number State |    OK
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