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General NPI Number Information
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NPI Number | 1013232800
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Entity Type | Organization
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Legal Business Name | PF LAWTON SNF OPS, LLC
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 7604 NW QUANAH PARKER TRAILWAY
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City | LAWTON
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State | OK
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Zip | 73505-1155
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Country | US
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Telephone | 580-536-2866
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 WATERS RIDGE DR STE 200
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City | LEWISVILLE
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State | TX
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Zip | 75057-6056
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Country | US
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Telephone | 214-725-2837
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Fax | 469-312-3796
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | JAMES M CHANCE
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Credential |
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Telephone | 214-725-2837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NF 1605
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License Number State | OK
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