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General NPI Number Information
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NPI Number | 1164429882
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Entity Type | Organization
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Legal Business Name | DAILY LIVING CENTERS, INC
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 3000 N ROCKWELL AVE
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City | BETHANY
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State | OK
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Zip | 73008
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Country | US
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Telephone | 405-792-2401
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Fax | 405-792-2405
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Provider Business Mailing Address
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Address Line | P.O. BOX 608
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City | BETHANY
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State | OK
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Zip | 73008
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Country | US
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Telephone | 405-792-2401
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Fax | 405-792-2405
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | JESSICA ANN CLAYTON
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Credential |
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Telephone | 405-792-2401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | DC55035503
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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