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General NPI Number Information
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NPI Number | 1376255117
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Entity Type | Organization
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Legal Business Name | INTEGRIS HEALTH EDMOND, INC
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Dates
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Enumeration Date | 12/22/2022
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 4801 INTEGRIS PKWY
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City | EDMOND
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State | OK
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Zip | 73034-8864
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Country | US
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Telephone | 405-657-3000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 200180
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City | DALLAS
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State | TX
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Zip | 75320-0180
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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 | VP
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Name | CASEY LEIGH AHLDEN
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Credential |
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Telephone | 405-252-8501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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