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General NPI Number Information
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NPI Number | 1770080251
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Entity Type | Individual
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Provider Name | JALAL ITANI MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1200 EVERETT DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104
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Country | US
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Telephone | 405-271-5125
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 EVERETT DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5047
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Country | US
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Telephone | 405-271-5125
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | U8744
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 34653
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD29371
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License Number State | ME
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 34684
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License Number State | OK
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 104313
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License Number State | GA
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