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General NPI Number Information
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NPI Number | 1871613547
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Entity Type | Organization
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Legal Business Name | ANTHONY ECONOMOU DO PC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 2865 E SKELLY DR STE 250
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City | TULSA
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State | OK
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Zip | 74105-6233
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Country | US
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Telephone | 918-317-0022
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Fax | 855-327-9828
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Provider Business Mailing Address
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Address Line | 2865 E SKELLY DR STE 250
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City | TULSA
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State | OK
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Zip | 74105-6233
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Country | US
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Telephone | 918-317-0022
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Fax | 855-327-9828
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY ECONOMOU
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Credential | D.O.
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Telephone | 918-317-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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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 | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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