Basic Information
Provider Information
NPI: 1861826307
EntityType: 2
ReplacementNPI:  
OrganizationName: HELPING HEALING HAPPEN PLLC
LastName:  
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Mailing Information
Address1: 5708 E 79TH ST
Address2:  
City: TULSA
State: OK
PostalCode: 741368455
CountryCode: US
TelephoneNumber: 4174340009
FaxNumber:  
Practice Location
Address1: 3500 HEALTHPLEX PKWY
Address2: SUITE 102
City: NORMAN
State: OK
PostalCode: 730729738
CountryCode: US
TelephoneNumber: 4053076955
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/01/2013
LastUpdateDate: 09/01/2013
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AuthorizedOfficialLastName: BLOOM
AuthorizedOfficialFirstName: REBECCA
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AuthorizedOfficialTitleorPosition: MANAGER/OWNER
AuthorizedOfficialTelephone: 4174340009
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207PE0005X26032OKY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine

No ID Information.


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