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NPI Verification

National Provider Identifier: 1790455590

10zero5 Ventures, INC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

4409 N KICKAPOO AVE STE 121

SHAWNEE, OK 748041225

Phone: 405-585-0475

NPI Enumeration Date

September 14, 2021

NPI Number

1790455590

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry