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General NPI Number Information
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NPI Number | 1386741635
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Entity Type | Organization
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Legal Business Name | MERCY HOSPITAL ARDMORE, INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1011 14TH AVE NW
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City | ARDMORE
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State | OK
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Zip | 73401-1828
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Country | US
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Telephone | 580-223-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 14TH AVE NW
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City | ARDMORE
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State | OK
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Zip | 73401-1828
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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 | CFO
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Name | TAMMI HARMONING
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Credential |
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Telephone | 580-220-6239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 2230
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License Number State | OK
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