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General NPI Number Information
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NPI Number | 1821992611
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Entity Type | Organization
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Legal Business Name | PAYNE PHYSICAL THERAPY, PLLC
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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 | 1629 SPOKE ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73108
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Country | US
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Telephone | 985-517-0888
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 RUNWAY BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73108-3508
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Country | US
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Telephone | 985-517-0888
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES FREDERICK PAYNE
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Credential | PT
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Telephone | 985-517-0888
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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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