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General NPI Number Information
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NPI Number | 1053369090
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Entity Type | Organization
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Legal Business Name | BAPTIST VILLAGE RETIREMENT COMMUNITIES OF OK, INC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9700 MASHBURN BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-5509
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Country | US
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Telephone | 405-720-2401
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Fax | 405-720-2556
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Provider Business Mailing Address
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Address Line | 300 JOHNNY BENCH DR STE 400
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-2470
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Country | US
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Telephone | 405-724-2872
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Fax | 405-942-0018
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Authorized Official
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Title or Position | VP PLANNING & PROJECT MANAGEMENT
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Name | WENDELL SHORT
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Credential |
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Telephone | 405-942-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7796
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License Number State | OK
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