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General NPI Number Information
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NPI Number | 1932359023
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Entity Type | Organization
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Legal Business Name | INSYNC LIFE CARE, LLC
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 1515 E 71ST ST SUITE 100
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City | TULSA
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State | OK
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Zip | 74136-5046
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Country | US
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Telephone | 918-582-7500
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Fax | 918-728-2340
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Provider Business Mailing Address
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Address Line | 1515 E 71ST ST SUITE 100
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City | TULSA
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State | OK
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Zip | 74136-5046
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Country | US
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Telephone | 918-582-7500
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Fax | 918-728-2340
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. DEBORAH LEE BRAZEAL
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Credential |
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Telephone | 918-551-6879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2-6745
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License Number State | OK
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