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General NPI Number Information
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NPI Number | 1104031962
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Entity Type | Organization
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Legal Business Name | MCBRIDE CLINIC ORTHOPEDIC HOSPITAL LLC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 9600 BROADWAY EXT
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-7408
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Country | US
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Telephone | 405-486-2184
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Fax | 405-486-2188
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Provider Business Mailing Address
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Address Line | 9600 BROADWAY EXT
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-7408
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Country | US
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Telephone | 405-486-2184
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Fax | 405-486-2188
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | TIMOTHY ANDERSON
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Credential |
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Telephone | 405-486-2191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 1-5553
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License Number State | OK
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