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General NPI Number Information
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NPI Number | 1982693396
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Entity Type | Individual
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Provider Name | SCOTT A CORDRAY DO
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Gender | Male
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 2448 E 81ST ST STE 1350
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City | TULSA
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State | OK
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Zip | 74137-4248
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Country | US
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Telephone | 918-582-8217
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Fax | 918-582-8219
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Provider Business Mailing Address
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Address Line | PO BOX 21228 DEPT 262
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City | TULSA
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State | OK
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Zip | 74121-1228
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Country | US
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Telephone | 918-582-8217
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Fax | 918-582-8219
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 2947
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License Number State | OK
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