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General NPI Number Information
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NPI Number | 1124970272
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Entity Type | Organization
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Legal Business Name | OKLAHOMA HEALTHCARE OPCO 2 LLC
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 604 LAKE MURRAY DR E
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City | ARDMORE
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State | OK
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Zip | 73401-3851
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Country | US
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Telephone | 516-276-0556
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Fax |
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Provider Business Mailing Address
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Address Line | 6202 E 61ST ST
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City | TULSA
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State | OK
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Zip | 74136-2119
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Country | US
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Telephone | 516-276-0556
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | YEHUDAH J NEWMAN
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Credential |
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Telephone | 516-276-0556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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