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General NPI Number Information
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NPI Number | 1407934409
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Entity Type | Organization
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Legal Business Name | OOLOGAH-TALALA EMS DISTRICT
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 100 W COOWEESCOOWEE AVE
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City | OOLOGAH
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State | OK
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Zip | 74053-4168
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Country | US
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Telephone | 918-443-2350
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W COOWEESCOOWEE AVE
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City | OOLOGAH
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State | OK
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Zip | 74053-4168
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Country | US
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Telephone | 918-443-2350
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BRANDI POND
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Credential |
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Telephone | 918-443-2350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 356
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License Number State | OK
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