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General NPI Number Information
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NPI Number | 1104372390
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Entity Type | Organization
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Legal Business Name | ADAIR COUNTY ENVIRONMENT HEALTH INITIATIVE
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 10 N 2ND ST
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City | STILWELL
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State | OK
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Zip | 74960-3004
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Country | US
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Telephone | 918-696-2132
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Fax | 918-696-1138
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Provider Business Mailing Address
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Address Line | 10 N 2ND ST
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City | STILWELL
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State | OK
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Zip | 74960-3004
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Country | US
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Telephone | 918-696-2132
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | JOHN E HEMBREE
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Credential |
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Telephone | 918-696-2132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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