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General NPI Number Information
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NPI Number | 1154316867
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Entity Type | Organization
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Legal Business Name | NEO HEALTH CARE INC., DBA OSBORNE CARE & REHAB
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 08/27/2007
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Provider Practice Location Address
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Address Line | 2530 N ELM ST
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City | MIAMI
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State | OK
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Zip | 74354-1444
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Country | US
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Telephone | 918-540-2300
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Fax | 918-540-2525
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Provider Business Mailing Address
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Address Line | 2530 N ELM ST
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City | MIAMI
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State | OK
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Zip | 74354-1444
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Country | US
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Telephone | 918-540-2300
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Fax | 918-540-2525
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Authorized Official
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Title or Position | DON
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Name | MRS. YVONNE DIANNE PANTER
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Credential | RN
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Telephone | 918-540-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NH5804-5804
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License Number State | OK
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