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General NPI Number Information
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NPI Number | 1376359463
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Entity Type | Organization
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Legal Business Name | TOTALDOSE CHICKASHA LLC
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 2103 W IOWA AVE
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City | CHICKASHA
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State | OK
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Zip | 73018-2737
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Country | US
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Telephone | 405-222-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 14101 N EASTERN AVE STE A
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City | EDMOND
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State | OK
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Zip | 73013-5860
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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 | CO-OWNER/MANAGER
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Name | DAVID L GEORGE
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Credential |
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Telephone | 405-562-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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