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General NPI Number Information
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NPI Number | 1881581320
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Entity Type | Organization
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Legal Business Name | MIRZA ENDOCRINOLOGY LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 800 WALL ST
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City | NORMAN
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State | OK
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Zip | 73069-6302
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Country | US
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Telephone | 405-857-7254
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Fax | 405-857-7255
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Provider Business Mailing Address
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Address Line | 800 WALL ST
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City | NORMAN
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State | OK
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Zip | 73069-6302
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Country | US
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Telephone | 405-857-7254
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Fax | 405-857-7255
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Authorized Official
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Title or Position | OWNER
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Name | LUBNA MIRZA
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Credential | MD
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Telephone | 405-795-2786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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