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General NPI Number Information
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NPI Number | 1013083906
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Entity Type | Organization
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Legal Business Name | PAULS VALLEY GENERAL HOSPITAL
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 VALLEY DR
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City | PAULS VALLEY
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State | OK
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Zip | 73075-6613
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Country | US
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Telephone | 405-238-5501
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Fax | 405-238-9261
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Provider Business Mailing Address
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Address Line | 918 E 7TH ST
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City | SULPHUR
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State | OK
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Zip | 73086-5023
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Country | US
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Telephone | 580-622-2255
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CHARLES JOHNSTON
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Credential |
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Telephone | 405-238-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 224778
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License Number State | OK
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