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General NPI Number Information
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NPI Number | 1043213010
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Entity Type | Organization
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Legal Business Name | SOUTHWEST OKLAHOMA AMBULANCE AUTHORITY
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 1101 1/2 N 6TH
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City | HOLLIS
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State | OK
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Zip | 73550
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Country | US
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Telephone | 918-313-7467
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Fax | 580-688-2289
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Provider Business Mailing Address
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Address Line | PO BOX 88
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City | HOLLIS
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State | OK
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Zip | 73550-0088
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Country | US
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Telephone | 918-313-7467
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Fax | 580-688-2289
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Authorized Official
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Title or Position | DIRECTOR
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Name | EDDIE JAMES WATSON
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Credential |
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Telephone | 580-688-3363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | EMS117
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License Number State | OK
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