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General NPI Number Information
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NPI Number | 1972638815
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Entity Type | Organization
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Legal Business Name | TULSA FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 3515 E 31ST ST STE B
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City | TULSA
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State | OK
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Zip | 74135-1520
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Country | US
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Telephone | 918-749-4263
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Fax | 866-543-9680
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Provider Business Mailing Address
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Address Line | 3515 E 31ST ST STE B
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City | TULSA
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State | OK
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Zip | 74135-1520
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Country | US
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Telephone | 918-749-4263
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Fax | 866-543-9680
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEREK DURRELL COFFMAN
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Credential | DC
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Telephone | 918-271-4805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3472
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License Number State | OK
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