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General NPI Number Information
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NPI Number | 1770891475
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF OKLAHOMA PLLC
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 4200 E SKELLY DR SUITE 100
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City | TULSA
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State | OK
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Zip | 74135-3247
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Country | US
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Telephone | 918-728-6010
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Fax |
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Provider Business Mailing Address
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Address Line | 6465 S YALE AVE SUITE 1002
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City | TULSA
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State | OK
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Zip | 74136-7802
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Country | US
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Telephone | 918-728-6010
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. PAUL D. STANTON
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Credential | M.D.
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Telephone | 918-728-6010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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