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General NPI Number Information
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NPI Number | 1245027051
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Entity Type | Organization
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Legal Business Name | ANTHEM HOSPICE OF OKLAHOMA CITY II LLC
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 425 W WILSHIRE BLVD STE D
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7793
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Country | US
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Telephone | 405-463-1766
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Fax | 405-724-6491
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Provider Business Mailing Address
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Address Line | 425 W WILSHIRE BLVD STE D
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7793
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Country | US
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Telephone | 405-463-1766
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Fax | 405-724-6491
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Authorized Official
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Title or Position | COMPLIANCE
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Name | MR. ROBERT DALE LAFLER JR.
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Credential |
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Telephone | 602-677-1471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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