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General NPI Number Information
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NPI Number | 1255434189
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Entity Type | Organization
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Legal Business Name | JUDITH KARMAN HOSPICE
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 915 S MAIN ST
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City | STILLWATER
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State | OK
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Zip | 74074-4635
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Country | US
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Telephone | 405-377-8012
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Fax |
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Provider Business Mailing Address
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Address Line | 915 S MAIN ST
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City | STILLWATER
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State | OK
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Zip | 74074
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Country | US
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Telephone | 405-377-8012
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARY LEE WARREN
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Credential |
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Telephone | 405-377-8012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 4016
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License Number State | OK
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