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General NPI Number Information
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NPI Number | 1427277268
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Entity Type | Organization
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Legal Business Name | DURANT HMA, INC.
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 1800 W UNIVERSITY BLVD
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City | DURANT
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State | OK
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Zip | 74701-3006
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Country | US
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Telephone | 580-924-3080
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 W UNIVERSITY BLVD PO BOX 1207
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City | DURANT
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State | OK
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Zip | 74701-3006
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Country | US
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Telephone | 580-924-3080
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Fax |
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Authorized Official
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Title or Position | SR. VP AND GENERAL COUNSEL
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Name | TIMOTHY PARRY
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Credential | ESQ
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Telephone | 239-598-3176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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