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General NPI Number Information
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NPI Number | 1023271798
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Entity Type | Organization
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Legal Business Name | SAINT ANN RETIREMENT CENTER
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 7501 W BRITTON RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73132-1602
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Country | US
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Telephone | 405-721-0747
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Fax |
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Provider Business Mailing Address
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Address Line | 7501 W BRITTON RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73132-1602
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Country | US
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Telephone | 405-721-0747
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Fax | 405-721-0492
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Authorized Official
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Title or Position | ASSISTED LIVING ADMINISTRATOR
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Name | MATTHEW STUART
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Credential |
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Telephone | 405-721-0747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL5522-5522
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License Number State | OK
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