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General NPI Number Information
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NPI Number | 1336260918
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Entity Type | Organization
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Legal Business Name | CITY OF BROKEN ARROW
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 220 S 1ST ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-4152
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Country | US
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Telephone | 918-259-2531
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Fax | 918-259-8215
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Provider Business Mailing Address
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Address Line | EMS SERVICES DEPT 1211
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City | TULSA
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State | OK
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Zip | 74182-0001
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Country | US
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Telephone | 918-259-2400
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Fax | 918-259-8219
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | CYNTHIA SEMENTELLI ARNOLD
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Credential |
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Telephone | 918-259-2400
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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 | EMS023
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License Number State | OK
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