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General NPI Number Information
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NPI Number | 1083418784
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Entity Type | Organization
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Legal Business Name | NEWMAN MEMORIAL HOSPITAL, INC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 1222 MAIN ST
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City | WOODWARD
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State | OK
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Zip | 73801-3124
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Country | US
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Telephone | 580-938-2551
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Fax |
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Provider Business Mailing Address
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Address Line | 905 S MAIN ST
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City | SHATTUCK
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State | OK
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Zip | 73858-9208
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Country | US
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Telephone | 580-938-2551
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | THOMAS VASKO
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Credential |
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Telephone | 580-938-5504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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