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General NPI Number Information
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NPI Number | 1043419286
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Entity Type | Organization
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Legal Business Name | CITY OF HARTSHORNE
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 03/29/2011
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Provider Practice Location Address
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Address Line | 1101 PENNSYLVANIA AVE
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City | HARTSHORNE
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State | OK
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Zip | 74547-3833
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Country | US
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Telephone | 918-297-2544
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 PENNSYLVANIA AVE
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City | HARTSHORNE
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State | OK
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Zip | 74547-3833
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Country | US
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Telephone | 918-297-2544
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Fax | 918-297-2594
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Authorized Official
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Title or Position | CITY CLERK
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Name | DAWN DUNKIN
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Credential |
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Telephone | 918-297-2544
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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 | EMS047
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License Number State | OK
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