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General NPI Number Information
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NPI Number | 1861180952
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Entity Type | Organization
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Legal Business Name | MOBILE MEDICAL SOLUTIONS
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 8551 N 125TH EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-2110
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Country | US
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Telephone | 918-638-7737
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Fax |
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Provider Business Mailing Address
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Address Line | 1607 SARATOGA WAY
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City | EDMOND
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State | OK
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Zip | 73003-3552
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Country | US
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Telephone | 918-638-7737
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JOHN CLOUD
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Credential | DO
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Telephone | 918-638-7737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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