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General NPI Number Information
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NPI Number | 1982567335
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Entity Type | Organization
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Legal Business Name | OKLAHOMA INJURY MEDICAL, PLLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 4441 W AIRPORT FWY STE 210
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City | IRVING
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State | TX
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Zip | 75062-5840
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Country | US
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Telephone | 405-857-0779
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Fax | 817-977-7390
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Provider Business Mailing Address
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Address Line | 4441 W AIRPORT FWY STE 210
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City | IRVING
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State | TX
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Zip | 75062-5840
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Country | US
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Telephone | 405-857-0779
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Fax | 817-977-7390
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Authorized Official
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Title or Position | DIRECTOR
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Name | MELISSA TARIN
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Credential |
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Telephone | 214-625-9018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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