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General NPI Number Information
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NPI Number | 1982253811
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Entity Type | Organization
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Legal Business Name | ULTIMATE HEALTH AND PAIN MANAGEMENT
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 09/04/2019
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Provider Practice Location Address
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Address Line | 1844 EAST 15TH STREET
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City | TULSA
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State | OK
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Zip | 74104
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Country | US
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Telephone | 918-504-4182
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Fax |
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Provider Business Mailing Address
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Address Line | 8177 S HARVARD AVE # 724
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City | TULSA
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State | OK
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Zip | 74137-1612
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DREW LAWRENCE
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Credential |
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Telephone | 918-504-4182
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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 |
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License Number State |
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