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General NPI Number Information
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NPI Number | 1235674730
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Entity Type | Organization
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Legal Business Name | SECOND TO NONE, INC
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 2948 VIA ESPERANZA
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City | EDMOND
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State | OK
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Zip | 73013-8934
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Country | US
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Telephone | 405-471-6201
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Fax | 405-471-6203
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Provider Business Mailing Address
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Address Line | 2948 VIA ESPERANZA
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City | EDMOND
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State | OK
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Zip | 73013-8934
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Country | US
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Telephone | 405-471-6201
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Fax | 405-471-6203
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOEL HERDZINA
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Credential |
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Telephone | 405-471-6201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | HC7922
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License Number State | OK
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