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General NPI Number Information
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NPI Number | 1114143252
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL OF TEXAS COUNTY
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 520 MEDICAL DRIVE
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City | GUYMON
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State | OK
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Zip | 73942
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Country | US
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Telephone | 580-338-6515
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Fax |
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Provider Business Mailing Address
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Address Line | HCR #4 BOX 80
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City | GUYMON
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State | OK
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Zip | 73942
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Country | US
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Telephone | 580-338-8136
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST ASSIST.
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Name | MRS. LYNETTE HELM
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Credential | RPTA
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Telephone | 580-338-6515
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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 | TA516
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License Number State | OK
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