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General NPI Number Information
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NPI Number | 1982955464
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Entity Type | Individual
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Provider Name | JULIA LEA ADELSON P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 4612 S HARVARD AVE SUITE B
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City | TULSA
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State | OK
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Zip | 74135-2908
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Country | US
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Telephone | 918-744-1331
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Fax | 918-744-1596
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Provider Business Mailing Address
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Address Line | 2448 E 26TH PL
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City | TULSA
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State | OK
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Zip | 74114-4302
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Country | US
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Telephone | 918-743-9182
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Fax | 918-744-1596
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1999
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License Number State | OK
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