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General NPI Number Information
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NPI Number | 1104809102
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Entity Type | Organization
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Legal Business Name | TOWN OF STRATFORD
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 110 E MAIN
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City | STRATFORD
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State | OK
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Zip | 74872-0569
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Country | US
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Telephone | 580-759-2371
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Fax | 580-759-2372
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Provider Business Mailing Address
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Address Line | PO BOX 569
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City | STRATFORD
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State | OK
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Zip | 74872-0569
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Country | US
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Telephone | 580-759-2371
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Fax | 580-759-2372
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Authorized Official
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Title or Position | TOWN CLERK
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Name | MS. LORI JOLLEY
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Credential |
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Telephone | 580-759-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | EMS097
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License Number State | OK
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