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General NPI Number Information
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NPI Number | 1265429344
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Entity Type | Organization
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Legal Business Name | GREAT PLAINS CARE CENTER INC.
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 905 BEALL RD
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City | KINGFISHER
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State | OK
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Zip | 73750-4800
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Country | US
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Telephone | 405-375-6857
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Fax | 405-375-6859
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Provider Business Mailing Address
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Address Line | 905 BEALL RD.
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City | KINGFISHER
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State | OK
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Zip | 74955
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Country | US
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Telephone | 918-775-6200
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Fax | 918-775-5643
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL BRANDON MORGAN
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Credential |
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Telephone | 479-769-5535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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