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General NPI Number Information
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NPI Number | 1407297963
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Entity Type | Organization
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Legal Business Name | CROSSOVER HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 940 E 36TH ST N
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City | TULSA
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State | OK
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Zip | 74106-1953
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Country | US
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Telephone | 918-398-9460
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Fax | 918-398-9460
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Provider Business Mailing Address
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Address Line | 940 E 36TH ST N
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City | TULSA
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State | OK
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Zip | 74106-1953
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Country | US
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Telephone | 918-398-9460
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Fax | 918-398-9460
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Authorized Official
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Title or Position | CFO
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Name | MRS. SHARMIEN CHARNISETTE WATKINS
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Credential |
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Telephone | 918-398-9460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 14202
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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