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General NPI Number Information
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NPI Number | 1902105166
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Entity Type | Individual
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Provider Name | TERRY ALAN RIMMER MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2011
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 13401 N WESTERN AVE SUITE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-1408
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Country | US
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Telephone | 405-252-3450
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Fax | 405-252-3499
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Provider Business Mailing Address
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Address Line | PO BOX 269064
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City | OKLAHOMA CITY
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State | OK
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Zip | 73126-9064
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Country | US
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Telephone | 405-231-3857
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Fax | 405-272-7977
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28619
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License Number State | OK
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