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General NPI Number Information
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NPI Number | 1215111257
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Entity Type | Organization
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Legal Business Name | CITY OF SHIDLER
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 05/21/2009
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Provider Practice Location Address
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Address Line | 351 NORTH COSDEN
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City | SHIDLER
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State | OK
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Zip | 74652
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Country | US
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Telephone | 918-793-7171
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 335 351 N. COSDEN
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City | SHIDLER
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State | OK
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Zip | 74652-0335
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Country | US
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Telephone | 918-793-7171
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. TODD ROE
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Credential |
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Telephone | 918-793-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | EMS089
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License Number State | OK
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