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General NPI Number Information
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NPI Number | 1912132390
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Entity Type | Individual
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Provider Name | JAMES RICHARD GREGORY MD
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Gender | Male
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 1200 CHILDRENS AVE SUITE 3A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-4637
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Country | US
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Telephone | 405-271-2669
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Fax | 405-271-5320
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Provider Business Mailing Address
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Address Line | 940 NE 13TH ST MRI 2000/ SUITE 2009
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5008
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Country | US
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Telephone | 405-271-6458
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Fax | 140-571-1502
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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 | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | 27041
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License Number State | OK
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