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General NPI Number Information
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NPI Number | 1932152410
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY SPECIALISTS, INC.
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 10210 E 91ST ST
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City | TULSA
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State | OK
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Zip | 74133-5834
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Country | US
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Telephone | 918-940-8500
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Fax | 918-940-8399
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Provider Business Mailing Address
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Address Line | 10210 E 91ST ST
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City | TULSA
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State | OK
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Zip | 74133-5834
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Country | US
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Telephone | 918-940-8500
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Fax | 918-940-8399
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Authorized Official
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Title or Position | CEO
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Name | DR. ROY L. THOMPSON
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Credential | M.D.
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Telephone | 918-940-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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