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General NPI Number Information
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NPI Number | 1780473983
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Entity Type | Individual
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Provider Name | TATUM HART DC
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 924 NW 58TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-5900
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Country | US
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Telephone | 405-459-0183
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Fax |
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Provider Business Mailing Address
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Address Line | 2832 RIDGEWAY CIR
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City | JONES
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State | OK
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Zip | 73049-4973
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Country | US
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Telephone | 405-505-6238
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4666
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License Number State | OK
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