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General NPI Number Information
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NPI Number | 1093914780
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Entity Type | Organization
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Legal Business Name | DUNCAN REGIONAL HOSPITAL
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2000 W ELK AVE
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City | DUNCAN
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State | OK
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Zip | 73533-1642
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Country | US
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Telephone | 580-251-8460
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 497
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City | RUSH SPRINGS
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State | OK
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Zip | 73082-0497
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Country | US
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Telephone | 580-467-3373
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KARA MELISSA MCCRACKEN
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Credential |
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Telephone | 580-251-8460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 3926
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License Number State | OK
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