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General NPI Number Information
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NPI Number | 1053311704
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Entity Type | Organization
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Legal Business Name | CONTINUOUS CARE CENTER OF BARTLESVILLE INC
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 10/09/2009
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Provider Practice Location Address
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Address Line | 3500 EAST FRANK PHILLIPS BLVD TOWER 4
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City | BARTLESVILLE
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State | OK
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Zip | 74006-2411
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Country | US
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Telephone | 918-749-8930
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Fax | 918-749-9373
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Provider Business Mailing Address
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Address Line | 1924 S UTICA AVE SUITE 600
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City | TULSA
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State | OK
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Zip | 74104-6510
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Country | US
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Telephone | 918-749-8930
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Fax | 918-749-9373
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Authorized Official
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Title or Position | CFO
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Name | MR. BASIL WYATT
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Credential |
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Telephone | 918-749-8930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 2357
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License Number State | OK
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