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General NPI Number Information
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NPI Number | 1841943180
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Entity Type | Organization
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Legal Business Name | OKLAHOMA EM-1 MEDICAL SERVICES, P.C.
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 2401 W MAIN ST
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City | HENRYETTA
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State | OK
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Zip | 74437-3893
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Country | US
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Telephone | 918-650-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 5565 CENTERVIEW DR STE 107
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City | RALEIGH
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State | NC
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Zip | 27606-3563
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Country | US
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Telephone | 850-437-7731
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | GREGORY J BYRNE
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Credential |
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Telephone | 214-712-2043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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