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General NPI Number Information
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NPI Number | 1285683318
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Entity Type | Organization
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Legal Business Name | THE OAKS HEALTHCARE-MCALESTER, LLC
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 614 W HARRISON AVE
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City | MCALESTER
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State | OK
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Zip | 74501-3416
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Country | US
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Telephone | 918-423-6011
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Fax | 918-426-0350
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Provider Business Mailing Address
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Address Line | 1805 E 15TH ST
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City | TULSA
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State | OK
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Zip | 74104-4610
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Country | US
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Telephone | 918-622-4799
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Fax | 918-622-4798
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | MR. JEFFREY W YOUNG
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Credential |
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Telephone | 918-622-4799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NH61026102
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License Number State | OK
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