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General NPI Number Information
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NPI Number | 1033177514
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Entity Type | Organization
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Legal Business Name | GENTLE SHEPHERD HOME HEALTH, INC.
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 2216 SHADOWLAKE DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-7440
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Country | US
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Telephone | 405-691-8600
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Fax | 405-691-8601
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Provider Business Mailing Address
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Address Line | 2216 SHADOWLAKE DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-7440
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Country | US
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Telephone | 405-691-8600
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Fax | 405-691-8601
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW ELERICK
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Credential |
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Telephone | 405-691-8600
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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 | 7763
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License Number State | OK
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