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General NPI Number Information
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NPI Number | 1396988903
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Entity Type | Organization
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Legal Business Name | CAH ACQUISITION COMPANY 4 INC
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 610 W BYPASS
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City | DRUMRIGHT
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State | OK
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Zip | 74030
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Country | US
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Telephone | 918-382-2300
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Fax | 918-382-2391
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Provider Business Mailing Address
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Address Line | 610 W BYPASS
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City | DRUMRIGHT
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State | OK
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Zip | 74030-5957
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Country | US
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Telephone | 918-382-2300
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Fax | 918-382-2391
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Authorized Official
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Title or Position | CEO
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Name | RYAN E CAPSHEW
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Credential |
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Telephone | 918-382-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 2367
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 2367
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License Number State | OK
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