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General NPI Number Information
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NPI Number | 1699863399
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Entity Type | Organization
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Legal Business Name | METRO TULSA FOOT & ANKLE SPECIALISTS PLLC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 09/13/2012
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Provider Practice Location Address
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Address Line | 10229 E 96TH ST N SUITE 100
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City | OWASSO
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State | OK
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Zip | 74055-5305
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Country | US
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Telephone | 918-272-8920
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Fax | 918-272-8922
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Provider Business Mailing Address
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Address Line | PO BOX 268860
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-8860
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Country | US
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Telephone | 918-272-8920
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Fax | 918-272-8922
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN BRIAN SMITH
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Credential | DPM
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Telephone | 918-494-2902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 200
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License Number State | OK
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