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NPI 1962427997

NPI 1962427997 : STEVE SCOTT MD : TULSA, OK

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General NPI Number Information
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    NPI Number           |    1962427997
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    Entity Type          |    Individual 
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    Provider Name        |    STEVE SCOTT MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/12/2006
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    Last Update Date     |    09/28/2011
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Provider Practice Location Address
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    Address Line         |    1919 S WHEELING AVE SUITE 500
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74104-5638
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    Country              |    US
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    Telephone            |    918-748-7650
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    Fax                  |    918-293-3147
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Provider Business Mailing Address
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    Address Line         |    1515 N HARVARD AVE SUITE E
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74115-4957
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    Country              |    US
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    Telephone            |    918-832-6049
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    Fax                  |    918-832-6055
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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        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    19020
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    License Number State |    OK
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