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General NPI Number Information
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NPI Number | 1851451033
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Entity Type | Organization
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Legal Business Name | NATURAL HEALTH & CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 6130 S MAPLEWOOD AVE SUITE D
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City | TULSA
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State | OK
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Zip | 74136
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Country | US
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Telephone | 918-481-9200
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Fax | 918-481-1125
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Provider Business Mailing Address
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Address Line | 6130 S MAPLEWOOD AVE SUITE D
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City | TULSA
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State | OK
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Zip | 74136
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Country | US
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Telephone | 918-481-9200
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Fax | 918-481-1125
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL J LAU
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Credential | DC
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Telephone | 918-481-9200
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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 | 3354
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License Number State | OK
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