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General NPI Number Information
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NPI Number | 1154104404
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Entity Type | Organization
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Legal Business Name | ELITE HOSPITAL PARTNERS OF OKLAHOMA
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Dates
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Enumeration Date | 08/18/2023
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 3401 W GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-6332
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Country | US
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Telephone | 580-355-8620
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23799
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City | JACKSONVILLE
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State | FL
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Zip | 32241-3799
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID DARRIGAN
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Credential | DO
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Telephone | 972-786-3602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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