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General NPI Number Information
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NPI Number | 1194684043
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Entity Type | Organization
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Legal Business Name | CHICKASHA WINGS INC
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 2376 BEECHCRAFT RD HNGR 4
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City | CHICKASHA
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State | OK
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Zip | 73018-2600
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Country | US
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Telephone | 405-574-6842
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Fax |
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Provider Business Mailing Address
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Address Line | 124 E COUNTRY CLUB RD
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City | CHICKASHA
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State | OK
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Zip | 73018-7362
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Country | US
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Telephone | 405-574-6842
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MITCHELL L WILLIAMS
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Credential |
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Telephone | 405-574-6842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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