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General NPI Number Information
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NPI Number | 1821423591
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Entity Type | Organization
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Legal Business Name | OBSTETRICAL HOSPITALISTS & WOMEN'S SERVICES, LLC
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 4140 W MEMORIAL RD STE 321
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8300
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Country | US
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Telephone | 405-748-4726
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Fax | 405-607-8497
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Provider Business Mailing Address
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Address Line | 4140 W MEMORIAL RD SUITE 321
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8366
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Country | US
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Telephone | 405-286-5600
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | PAM LOGAN
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Credential |
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Telephone | 405-748-4726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 27567
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License Number State | OK
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