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General NPI Number Information
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NPI Number | 1093039984
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Entity Type | Organization
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Legal Business Name | TWINMED URGENT CARE, ARNP/PA, P.L.L.C.
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Dates
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Enumeration Date | 03/21/2010
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Last Update Date | 06/07/2013
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Provider Practice Location Address
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Address Line | 200 S 3RD ST SUITE B
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City | MCALESTER
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State | OK
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Zip | 74501-5651
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Country | US
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Telephone | 918-302-0900
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Fax | 918-302-0929
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Provider Business Mailing Address
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Address Line | 200 S 3RD ST SUITE B
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City | MCALESTER
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State | OK
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Zip | 74501-5651
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Country | US
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Telephone | 918-302-0900
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Fax | 918-302-0929
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Authorized Official
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Title or Position | CODER/BILLER
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Name | MRS. THERESA G OWENS
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Credential |
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Telephone | 918-302-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ROO73757
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License Number State | OK
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