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General NPI Number Information
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NPI Number | 1336220904
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Entity Type | Organization
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Legal Business Name | CITY OF ELK CITY OFFICE OF CITY CLERK
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 303 W 5TH ST
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City | ELK CITY
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State | OK
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Zip | 73644-5713
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Country | US
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Telephone | 580-225-0500
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Fax | 580-225-3552
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Provider Business Mailing Address
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Address Line | PO BOX 1100
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City | ELK CITY
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State | OK
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Zip | 73648-1100
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Country | US
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Telephone | 580-225-3230
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Fax | 580-225-3234
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Authorized Official
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Title or Position | TREASURER
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Name | ELESIA L. CHURCH
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Credential |
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Telephone | 580-225-3230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | EMS383
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License Number State | OK
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