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General NPI Number Information
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NPI Number | 1083402523
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Entity Type | Organization
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Legal Business Name | SENIOR CARE OF OKLAHOMA LLC
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 12601 S MEMORIAL DR STE 4
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City | BIXBY
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State | OK
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Zip | 74008-1506
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Country | US
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Telephone | 918-770-6850
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Fax |
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Provider Business Mailing Address
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Address Line | 815 N WACO AVE STE 20
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City | WICHITA
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State | KS
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Zip | 67203-3928
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Country | US
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Telephone | 316-295-3282
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AMY S TORRES
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Credential |
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Telephone | 316-295-3282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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