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General NPI Number Information
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NPI Number | 1922885508
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Entity Type | Organization
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Legal Business Name | DANCING CRANE LLC
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 2202 E 49TH ST STE 520
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City | TULSA
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State | OK
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Zip | 74105-8710
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Country | US
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Telephone | 918-210-4597
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Fax |
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Provider Business Mailing Address
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Address Line | 428 S ALLEGHENY AVE
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City | TULSA
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State | OK
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Zip | 74112-1428
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Country | US
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Telephone | 954-821-7015
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MARIAH WOOLDRIDGE
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Credential |
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Telephone | 918-210-4597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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