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General NPI Number Information
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NPI Number | 1447292925
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Entity Type | Organization
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Legal Business Name | W & L NURSING HOMES LLC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 2500 S 12TH ST
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City | CHICKASHA
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State | OK
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Zip | 73018-6700
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Country | US
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Telephone | 405-224-1397
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Fax | 405-224-4431
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Provider Business Mailing Address
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Address Line | 2500 S 12TH ST
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City | CHICKASHA
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State | OK
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Zip | 73018-6700
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Country | US
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Telephone | 405-224-1397
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Fax | 405-224-4431
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. BETTY HEILIGER
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Credential |
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Telephone | 405-224-1397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH26042604
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License Number State | OK
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