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General NPI Number Information
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NPI Number | 1295859387
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Entity Type | Organization
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Legal Business Name | STILLWATER MEDICAL CENTER PHYSICIANS
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1323 W 6TH AVE
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City | STILLWATER
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State | OK
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Zip | 74074-4306
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Country | US
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Telephone | 405-742-5729
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2408
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City | STILLWATER
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State | OK
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Zip | 74076-2408
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | KAREN HENDREN
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Credential |
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Telephone | 405-742-5729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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