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General NPI Number Information
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NPI Number | 1033229240
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Entity Type | Organization
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Legal Business Name | SURGICAL HOSPITAL OF OKLAHOMA LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 100 SOUTHEAST 59TH
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City | OKLAHOMA CITY
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State | OK
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Zip | 73129-3616
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Country | US
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Telephone | 405-635-3027
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Fax | 405-616-7049
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Provider Business Mailing Address
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Address Line | 100 SOUTHEAST 59TH
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City | OKLAHOMA CITY
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State | OK
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Zip | 73129-3616
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Country | US
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Telephone | 405-635-3027
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Fax | 405-616-7049
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Authorized Official
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Title or Position | ASSISTANT CFO
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Name | SHELDON SCOTT SPENCE
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Credential |
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Telephone | 580-754-3169
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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 | 2338
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License Number State | OK
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