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General NPI Number Information
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NPI Number | 1982767950
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Entity Type | Organization
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Legal Business Name | OKLAHOMA MEDICAL SERVICES & SUPPLY INC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7614 E 91ST ST STE 180
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City | TULSA
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State | OK
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Zip | 74133-6047
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Country | US
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Telephone | 918-494-9994
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Fax | 918-494-9745
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Provider Business Mailing Address
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Address Line | 7614 E 91ST ST STE 180
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City | TULSA
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State | OK
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Zip | 74133-6047
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Country | US
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Telephone | 918-494-9994
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Fax | 918-494-9745
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID A TRAUB
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Credential | M.D.
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Telephone | 918-494-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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