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General NPI Number Information
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NPI Number | 1700950268
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Entity Type | Individual
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Provider Name | SHANTHARAM DARBE M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 515 CENTRAL PARK DR SUITE 107
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City | OKLAHOMA CITY
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State | OK
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Zip | 73105-1724
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Country | US
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Telephone | 405-525-2222
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Fax | 405-848-8481
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Provider Business Mailing Address
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Address Line | PO BOX 18783
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City | OKLAHOMA CITY
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State | OK
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Zip | 73154-0783
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Country | US
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Telephone | 405-525-2222
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Fax | 405-848-8481
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 16024
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License Number State | OK
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