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General NPI Number Information
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NPI Number | 1033587076
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Entity Type | Organization
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Legal Business Name | CHICKASAW NATION DIVISION OF COMMERCE
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 2080 W STATE HIGHWAY 9
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City | NORMAN
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State | OK
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Zip | 73072-9795
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Country | US
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Telephone | 405-322-6800
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Fax | 405-322-6804
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Provider Business Mailing Address
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Address Line | 2080 W STATE HIGHWAY 9
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City | NORMAN
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State | OK
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Zip | 73072-9795
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Country | US
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Telephone | 405-322-6800
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Fax | 405-322-6804
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Authorized Official
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Title or Position | EXECUTIVE OFFICER
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Name | CHRIS THARP
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Credential |
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Telephone | 580-421-8777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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