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General NPI Number Information
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NPI Number | 1174735088
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Entity Type | Organization
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Legal Business Name | INTEGRITY EMERGENCY MEDICAL SERVICES OF OKLAHOMA LLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 104 SW 1ST STREET
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City | AFTON
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State | OK
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Zip | 74331
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Country | US
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Telephone | 918-257-4352
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Fax | 918-449-1336
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Provider Business Mailing Address
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Address Line | PO BOX 365
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City | AFTON
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State | OK
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Zip | 74331-0365
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Country | US
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Telephone | 918-257-4352
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Fax | 918-449-1336
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. RICK BRONSON
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Credential | M.ED,EMT-P
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Telephone | 918-449-1335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | EMS388
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License Number State | OK
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