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General NPI Number Information
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NPI Number | 1861059388
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Entity Type | Organization
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Legal Business Name | 15TH STREET CLINIC
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Dates
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Enumeration Date | 05/20/2019
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 180 W 15TH ST STE 100
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City | EDMOND
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State | OK
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Zip | 73013-3601
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Country | US
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Telephone | 405-420-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 180 W 15TH ST STE 100
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City | EDMOND
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State | OK
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Zip | 73013-3601
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Country | US
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Telephone | 405-420-3937
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. EDWARD POOLE II
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Credential |
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Telephone | 405-420-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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