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General NPI Number Information
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NPI Number | 1699151233
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Entity Type | Organization
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Legal Business Name | TULSA BIRTH CENTER
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 5932 E 43RD ST
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City | TULSA
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State | OK
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Zip | 74135-6506
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Country | US
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Telephone | 918-932-8164
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Fax | 314-375-8570
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Provider Business Mailing Address
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Address Line | 5932 E 43RD ST
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City | TULSA
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State | OK
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Zip | 74135-6506
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Country | US
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Telephone | 918-932-8164
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Fax | 314-375-8570
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Authorized Official
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Title or Position | OWNER
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Name | SARAH FOSTER
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Credential |
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Telephone | 580-716-6375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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