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PARADIGM HORMONES -EDMOND NPI 1639604101


NPI Information

NPI: 1639604101
Provider Name: PARADIGM HORMONES -EDMOND
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1301 S I 35 SERVICE RD
STE 106
MOORE, OK
ZIP 73160
Phone: (405) 703-3614
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PARADIGM HORMONES -EDMOND is a clinic center in Moore, OK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PARADIGM HORMONES -EDMOND NPI is 1639604101. The provider is registered as an organization entity type.

The provider's business location address is:

1301 S I 35 SERVICE RD
STE 106
MOORE, OK
ZIP 73160-182
Phone: (405) 703-3614
Fax: (405) 703-7021

The provider's authorized official is Nikki Busellato .
The authorized official title is Ins.credentialing and has the following contact phone number (405) 703-3614.

The enumeration date for this NPI number is 4/21/2017 and was last updated on 4/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterOKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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