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General NPI Number Information
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NPI Number | 1700062346
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Entity Type | Individual
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Provider Name | ALFRED GENDY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 07/06/2011
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Provider Practice Location Address
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Address Line | 4502 E 41ST ST SUITE NUMBER 2D31
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City | TULSA
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State | OK
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Zip | 74135-2536
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Country | US
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Telephone | 918-660-8363
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Fax |
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Provider Business Mailing Address
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Address Line | 10022 S 78TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-7012
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Country | US
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Telephone | 918-899-7738
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 26972
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License Number State | OK
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