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General NPI Number Information
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NPI Number | 1689946360
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Entity Type | Organization
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Legal Business Name | MARSHA NAHRA, MD, P.C.
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 6465 S YALE AVE STE 515
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City | TULSA
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State | OK
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Zip | 74136-7823
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Country | US
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Telephone | 918-502-4580
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Fax | 918-502-4520
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Provider Business Mailing Address
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Address Line | 6465 S YALE AVE STE 515
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City | TULSA
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State | OK
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Zip | 74136-7823
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Country | US
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Telephone | 918-502-4580
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Fax | 918-502-4520
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Authorized Official
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Title or Position | DOCTOR
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Name | MARSHA NAHRA
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Credential | MD
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Telephone | 918-502-4580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 21143
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License Number State | OK
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