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General NPI Number Information
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NPI Number | 1912608613
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Entity Type | Organization
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Legal Business Name | DSB MEDICAL SERVICES CORP
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Dates
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Enumeration Date | 03/10/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 7900 NW 23RD ST
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City | BETHANY
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State | OK
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Zip | 73008-4961
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Country | US
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Telephone | 405-470-3232
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Fax | 405-470-3233
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Provider Business Mailing Address
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Address Line | 408 EASTWOOD CIR
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City | ARDMORE
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State | OK
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Zip | 73401-9115
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Country | US
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Telephone | 580-504-6099
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEVIN L PEERY
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Credential | NURSE PRACTITIONER
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Telephone | 580-504-6099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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