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General NPI Number Information
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NPI Number | 1952305849
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Entity Type | Individual
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Provider Name | SCOTT A MITCHELL DO
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Gender | Male
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 3601 NW 138TH ST STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-2507
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Country | US
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Telephone | 405-775-9350
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Fax | 405-775-9360
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Provider Business Mailing Address
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Address Line | 3601 NW 138TH ST STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-2507
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Country | US
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Telephone | 405-775-9350
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Fax | 405-775-9360
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 2802
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 2802
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License Number State | OK
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