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General NPI Number Information
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NPI Number | 1124040217
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Entity Type | Organization
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Legal Business Name | BAPTIST HEALTHCARE OF OKLAHOMA INC
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DRIVE
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City | MADILL
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State | OK
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Zip | 73446-0827
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Country | US
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Telephone | 580-795-9917
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Fax | 580-795-0171
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Provider Business Mailing Address
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Address Line | PO BOX 827
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City | MADILL
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State | OK
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Zip | 73446-0827
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Country | US
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Telephone | 580-795-3384
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Fax | 580-795-0171
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Authorized Official
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Title or Position | CFO
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Name | TOM BRIGGS
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Credential |
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Telephone | 580-795-0177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 4025
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License Number State | OK
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