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General NPI Number Information
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NPI Number | 1427659523
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Entity Type | Organization
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Legal Business Name | CITIZEN POTAWATOMI NATION
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 204 E WALNUT ST
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City | TECUMSEH
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State | OK
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Zip | 74873-2030
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Country | US
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Telephone | 405-695-6285
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Fax |
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Provider Business Mailing Address
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Address Line | 204 E WALNUT ST
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City | TECUMSEH
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State | OK
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Zip | 74873-2030
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Country | US
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Telephone | 405-695-6285
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH SERVICES
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Name | CHRIS SKILLINGS
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Credential |
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Telephone | 405-273-5236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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