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General NPI Number Information
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NPI Number | 1972543346
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Entity Type | Organization
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Legal Business Name | REASORS LLC
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 11214 E 71ST ST
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City | TULSA
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State | OK
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Zip | 74133-2554
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Country | US
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Telephone | 918-459-2538
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Fax | 918-249-8120
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Provider Business Mailing Address
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Address Line | 200 W CHOCTAW ST
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City | TAHLEQUAH
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State | OK
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Zip | 74464-3808
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Country | US
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Telephone | 918-947-8180
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Fax | 918-947-8199
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | ANDY BECKER
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Credential |
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Telephone | 918-720-2240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 26413
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License Number State | OK
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