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General NPI Number Information
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NPI Number | 1114510369
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Entity Type | Organization
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Legal Business Name | TSES SHAYS COMPASSIONATE CARE LLC
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Dates
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Enumeration Date | 02/18/2021
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 5200 S YALE AVE STE 201
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City | TULSA
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State | OK
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Zip | 74135-7486
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Country | US
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Telephone | 918-764-8737
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 S YALE AVE STE 201
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City | TULSA
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State | OK
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Zip | 74135-7486
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Country | US
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Telephone | 918-764-8737
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FELICIA ANTOINETTE THOMPSON
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Credential |
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Telephone | 918-764-8734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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