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General NPI Number Information
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NPI Number | 1427019710
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Entity Type | Organization
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Legal Business Name | ALLIED HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 1619 S. PEORIA AVE.
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City | TULSA
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State | OK
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Zip | 74120
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Country | US
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Telephone | 918-742-4269
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Fax | 918-742-4493
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Provider Business Mailing Address
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Address Line | 1619 S. PEORIA AVE.
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City | TULSA
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State | OK
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Zip | 74120
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Country | US
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Telephone | 918-742-4269
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Fax | 918-742-4493
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KRISTI GAVLIN
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Credential |
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Telephone | 918-693-8748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7088
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License Number State | OK
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