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NPI Code Detail

MEDICARE: VIOLETA BIRK

MEDICARE:   VIOLETA  BIRK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1619693819
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIOLETA BIRK
Provider Business Mailing Address
First Line : 8150 S 107TH EAST AVE APT N
Second Line :
City : TULSA
State : OK
Zip : 74133-5766
Country : US
Telephone Number : 918-361-0680
Fax Number :
Provider Business Practice Location Address
First Line : 5635 N MARTIN LUTHER KING JR BLVD
Second Line :
City : TULSA
State : OK
Zip : 74126-6409
Country : US
Telephone Number : 918-595-4368
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2022
Last Update Date : 10/18/2022

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Directions to “ VIOLETA BIRK ” Practice Location

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