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General NPI Number Information
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NPI Number | 1225813249
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Entity Type | Organization
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Legal Business Name | YOUR BEST HEALTH LLC
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 102780 US HIGHWAY 59
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City | SALLISAW
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State | OK
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Zip | 74955-4033
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Country | US
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Telephone | 660-281-0018
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Fax |
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Provider Business Mailing Address
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Address Line | 102780 US HIGHWAY 59
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City | SALLISAW
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State | OK
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Zip | 74955-4033
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Country | US
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Telephone | 660-281-0018
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Fax |
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | DR. AGEENA HASS
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Credential | DO
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Telephone | 660-281-0018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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