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General NPI Number Information
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NPI Number | 1346424363
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Entity Type | Organization
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Legal Business Name | SOUTHERN PLAINS TREATMENT SERVICES
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 310 12TH AVE NE
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City | NORMAN
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State | OK
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Zip | 73071-5238
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Country | US
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Telephone | 405-201-5439
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Fax |
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Provider Business Mailing Address
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Address Line | 1413 CENTRAL PKWY
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City | NORMAN
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State | OK
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Zip | 73071-3870
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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 | CEO
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Name | TODD ACTON
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Credential |
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Telephone | 405-201-5439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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