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General NPI Number Information
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NPI Number | 1760386759
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Entity Type | Organization
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Legal Business Name | GMDB LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 3748 N LINCOLN BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73105-1100
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Country | US
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Telephone | 405-566-9959
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Fax |
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Provider Business Mailing Address
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Address Line | 2908 NE ORLIE DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73121-2436
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Country | US
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Telephone | 405-566-9959
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST-OWNER
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Name | NYKIAH JNICE HINES
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Credential | PT,DPT
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Telephone | 405-566-9959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | NULL
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