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General NPI Number Information
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NPI Number | 1881882538
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Entity Type | Organization
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Legal Business Name | BITANOR CORP
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 05/31/2019
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Provider Practice Location Address
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Address Line | 204 RIVERSIDE DR
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City | MOORE
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State | OK
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Zip | 73160-1237
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Country | US
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Telephone | 405-799-6900
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Fax | 405-799-6906
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Provider Business Mailing Address
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Address Line | 204 S. RIVERSIDE DRIVE
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City | MOORE
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State | OK
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Zip | 73160
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Country | US
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Telephone | 405-759-2138
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Fax | 405-799-6906
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Authorized Official
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Title or Position | OWNER
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Name | DR. DARIUS NOORI
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Credential | M.D
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Telephone | 405-759-2138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 21921
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License Number State | OK
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