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General NPI Number Information
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NPI Number | 1003253006
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Entity Type | Organization
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Legal Business Name | PROVING FAITHFUL INVESTMENTS INC.
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | 205 W. HARTFORD AVENUE #112
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City | PONCA CITY
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State | OK
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Zip | 74601
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Country | US
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Telephone | 580-762-3242
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Fax | 580-307-3237
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Provider Business Mailing Address
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Address Line | 205 W. HARTFORD AVENUE #112
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City | PONCA CITY
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State | OK
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Zip | 74601
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Country | US
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Telephone | 580-762-3242
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Fax | 580-307-3237
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. EDNA MORRIS
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Credential |
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Telephone | 580-762-3242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC8009
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License Number State | OK
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