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General NPI Number Information
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NPI Number | 1992772917
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Entity Type | Individual
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Provider Name | JONIS CHATZIGIANNIDIS LPED, DOMP, MT
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 6465 S YALE AVE STE 608
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City | TULSA
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State | OK
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Zip | 74136-7808
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Country | US
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Telephone | 918-747-8224
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Fax | 918-935-3499
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Provider Business Mailing Address
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Address Line | 6465 S YALE AVE SUITE 608
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City | TULSA
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State | OK
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Zip | 74136
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Country | US
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Telephone | 918-747-8224
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Fax | 918-296-3587
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | 26
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 224L00000X
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Taxonomy Name | Pedorthist
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License Number | 26
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | 26
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 26
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License Number State | OK
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Taxonomy #6
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 157326
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License Number State | OK
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