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General NPI Number Information
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NPI Number | 1104968916
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Entity Type | Organization
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Legal Business Name | MUSKOGEE REGIONAL MEDICAL CENTER LLC
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 300 ROCKEFELLER DR
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City | MUSKOGEE
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State | OK
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Zip | 74401-5075
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Country | US
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Telephone | 918-682-5501
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Fax | 918-684-2552
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Provider Business Mailing Address
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Address Line | 103 CONTINENTAL PL SUITE 200
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City | BRENTWOOD
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State | TN
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Zip | 37027-1041
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Country | US
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Telephone | 615-844-9800
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Fax | 615-844-9883
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Authorized Official
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Title or Position | CEO
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Name | STEPHEN L PAGE
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Credential |
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Telephone | 615-844-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 2177
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License Number State | OK
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