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General NPI Number Information
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NPI Number | 1063209336
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Entity Type | Organization
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Legal Business Name | MOMENTS HOSPICE OF OKLAHOMA CITY LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 3817 NW 58TH ST STE 104
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-1606
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Country | US
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Telephone | 877-666-3687
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Fax | 763-205-9350
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Provider Business Mailing Address
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Address Line | 820 LILAC DR N STE 210
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City | GOLDEN VALLEY
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State | MN
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Zip | 55422-4754
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Country | US
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Telephone | 877-666-3687
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Fax | 763-205-9350
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ELIYAHU JAFFA
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Credential |
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Telephone | 877-666-3687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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