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General NPI Number Information
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NPI Number | 1720589351
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Entity Type | Organization
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Legal Business Name | CLASSEN URGENT CARE CLINIC LLC
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 07/02/2021
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Provider Practice Location Address
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Address Line | 1025 SW 4TH ST SUITE 101
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City | MOORE
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State | OK
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Zip | 73160-2404
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Country | US
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Telephone | 405-701-7111
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Fax | 405-445-7660
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Provider Business Mailing Address
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Address Line | 2818 CLASSEN BLVD
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City | NORMAN
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State | OK
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Zip | 73071-4059
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Country | US
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Telephone | 405-701-7111
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Fax | 405-701-7165
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | HUSSEIN TORBATI
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Credential | PA-C
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Telephone | 405-701-7111
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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 | 261QU0200X
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License Number State | OK
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