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General NPI Number Information
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NPI Number | 1851974653
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Entity Type | Individual
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Provider Name | JODI LEE WILEY DO
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Gender | Female
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 6717 S YALE AVE STE 210
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City | TULSA
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State | OK
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Zip | 74136-3328
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Country | US
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Telephone | 918-675-0068
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Fax | 918-675-5345
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Provider Business Mailing Address
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Address Line | OSU HEALTH CARE CENTER 2345 SW BLVD
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City | TULSA
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State | OK
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Zip | 74107
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Country | US
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Telephone | 918-582-1890
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Fax | 918-561-1289
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 7654
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 7654
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License Number State | OK
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