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General NPI Number Information
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NPI Number | 1710430939
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Entity Type | Organization
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Legal Business Name | REHAB DOC PLLC
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 4815 S HARVARD AVE STE 418
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City | TULSA
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State | OK
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Zip | 74135-3068
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Country | US
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Telephone | 817-284-9850
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Fax |
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Provider Business Mailing Address
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Address Line | 4815 S HARVARD AVE STE 418
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City | TULSA
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State | OK
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Zip | 74135-3068
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Country | US
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Telephone | 817-284-9850
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JODI L YELVERTON
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Credential | MD
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Telephone | 918-645-3608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 19953
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License Number State | OK
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