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General NPI Number Information
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NPI Number | 1376905976
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Entity Type | Organization
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Legal Business Name | KLS CARE CENTERS
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 03/23/2016
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Provider Practice Location Address
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Address Line | 17364 STATE HIGHWAY 9
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City | NORMAN
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State | OK
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Zip | 73072-8732
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Country | US
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Telephone | 405-922-1257
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Fax |
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Provider Business Mailing Address
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Address Line | 17364 STATE HIGHWAY 9
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City | NORMAN
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State | OK
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Zip | 73072-8732
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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 | OWNER
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Name | EWANE MASANGO
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Credential |
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Telephone | 405-922-1257
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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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