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General NPI Number Information
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NPI Number | 1366593923
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Entity Type | Organization
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Legal Business Name | CREEK NATION HOSPITAL & CLINICS
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 2900 N MAIN ST
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City | MUSKOGEE
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State | OK
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Zip | 74401-4078
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Country | US
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Telephone | 918-346-7833
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT 1038
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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 | 918-756-3334
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Fax | 918-759-2081
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Authorized Official
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Title or Position | SECRETARY OF HEALTH
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Name | SHAWN TERRY
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Credential |
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Telephone | 918-756-0310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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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 | 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 #3
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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 #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics 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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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