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General NPI Number Information
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NPI Number | 1699659235
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Entity Type | Organization
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Legal Business Name | MEG CARDONI, PHD, PLLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 2202 E 49TH ST STE 400
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City | TULSA
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State | OK
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Zip | 74105-8714
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Country | US
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Telephone | 918-641-4114
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Fax |
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Provider Business Mailing Address
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Address Line | 4717 S YORKTOWN PL
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City | TULSA
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State | OK
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Zip | 74105-4930
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Country | US
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Telephone | 918-808-8726
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARY CARDONI
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Credential | PHD
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Telephone | 918-641-4114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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