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General NPI Number Information
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NPI Number | 1144615444
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Entity Type | Organization
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Legal Business Name | GCN HEALTH CARE INC
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 305 S MAIN ST STE B
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City | EUFAULA
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State | OK
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Zip | 74432-3222
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Country | US
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Telephone | 918-618-4248
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Fax | 918-618-4473
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Provider Business Mailing Address
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Address Line | 100 S 3RD ST
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City | MCALESTER
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State | OK
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Zip | 74501-5300
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Country | US
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Telephone | 918-426-0983
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Fax |
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MRS. MELANIE DAWN MAHONEY
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Credential |
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Telephone | 918-426-0983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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