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General NPI Number Information
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NPI Number | 1285570598
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Entity Type | Organization
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Legal Business Name | TRIAD COMPLETE HEALTHCARE A06 LLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 2308 W HIGHWAY 66
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City | STROUD
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State | OK
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Zip | 74079-6729
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Country | US
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Telephone | 405-338-7707
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Fax | 405-533-3132
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Provider Business Mailing Address
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Address Line | 1411 W 12TH AVE
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City | STILLWATER
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State | OK
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Zip | 74074-5481
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Country | US
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Telephone | 405-338-7707
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Fax | 405-533-3132
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL / OWNER
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Name | STEPHEN CHAD BAYER
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Credential |
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Telephone | 405-372-6120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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