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General NPI Number Information
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NPI Number | 1316952153
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Entity Type | Organization
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Legal Business Name | AYERS NURSING HOME INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 07/25/2011
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Provider Practice Location Address
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Address Line | 801 B ST
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City | SNYDER
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State | OK
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Zip | 73566-2023
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Country | US
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Telephone | 580-569-2258
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Fax | 580-569-2448
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Provider Business Mailing Address
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Address Line | PO BOX 100
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City | SNYDER
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State | OK
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Zip | 73566-0100
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Country | US
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Telephone | 580-569-2258
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Fax | 580-569-2448
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Authorized Official
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Title or Position | ADM
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Name | MRS. BECKY J GREEN
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Credential |
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Telephone | 580-569-2258
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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 | NH38013801
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License Number State | OK
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