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General NPI Number Information
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NPI Number | 1912138538
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Entity Type | Organization
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Legal Business Name | AJWJ GROUP LLC
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 02/15/2013
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Provider Practice Location Address
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Address Line | 1700 TEAKWOOD CIR
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City | NORMAN
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State | OK
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Zip | 73071-2095
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Country | US
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Telephone | 405-366-7184
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Fax | 405-366-7184
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Provider Business Mailing Address
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Address Line | 1700 TEAKWOOD CIR
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City | NORMAN
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State | OK
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Zip | 73071-2095
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Country | US
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Telephone | 405-366-7184
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Fax | 405-366-7184
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREA JAMES
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Credential | MD
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Telephone | 405-366-7184
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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 |
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License Number State |
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