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General NPI Number Information
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NPI Number | 1407645583
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Entity Type | Organization
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Legal Business Name | EAGLET HEALTH LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 4401 W MEMORIAL RD STE 135
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-1787
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Country | US
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Telephone | 405-442-7577
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Fax | 405-442-7223
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Provider Business Mailing Address
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Address Line | 4401 W MEMORIAL RD STE 135
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-1787
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Country | US
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Telephone | 405-604-7498
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/ MANAGER
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Name | LINDA NOLA
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Credential | RN
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Telephone | 405-604-7498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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