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NPI 1962253203

NPI 1962253203 : SNAPSHOT HEALTH LLC : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1962253203
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    Entity Type          |    Organization 
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    Legal Business Name  |    SNAPSHOT HEALTH LLC 
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Dates
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    Enumeration Date     |    03/27/2024
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    Last Update Date     |    04/16/2025
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Provider Practice Location Address
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    Address Line         |    907 S DETROIT AVE STE 100 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74120-4253
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    Country              |    US
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    Telephone            |    323-708-0382
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    907 S DETROIT AVE STE 100 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74120-4253
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    Country              |    US
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    Telephone            |    323-708-0382
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ROBERT  KURTZ 
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    Credential           |    
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    Telephone            |    323-708-0382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2083P0901X
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    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
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    License Number       |    
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    License Number State |    
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