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General NPI Number Information
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NPI Number | 1265833842
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Entity Type | Organization
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Legal Business Name | RITA HANCOCK MD PLLC
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 1020 24TH AVE NW STE 100
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City | NORMAN
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State | OK
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Zip | 73069-6341
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Country | US
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Telephone | 405-826-3140
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 24TH AVE NW STE 100
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City | NORMAN
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State | OK
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Zip | 73069-6341
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Country | US
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Telephone | 405-826-3140
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RITA MALVASO HANCOCK
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Credential | MD
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Telephone | 405-826-3140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State | OK
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