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General NPI Number Information
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NPI Number | 1407706575
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Entity Type | Organization
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Legal Business Name | NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS INC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1500 E DOWNING ST STE 106
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City | TAHLEQUAH
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State | OK
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Zip | 74464-3354
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Country | US
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Telephone | 918-506-5023
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Fax | 918-506-6021
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Provider Business Mailing Address
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Address Line | 1500 E DOWNING ST STE 106
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City | TAHLEQUAH
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State | OK
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Zip | 74464-3354
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Country | US
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Telephone | 918-506-5023
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Fax | 918-506-6021
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Authorized Official
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Title or Position | HR
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Name | SELENE SALAZAR
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Credential |
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Telephone | 918-772-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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