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General NPI Number Information
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NPI Number | 1457459158
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Entity Type | Organization
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Legal Business Name | CARNEGIE INDIAN HEALTH CENTER
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 212 E. 4TH STREET
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City | CARNEGIE
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State | OK
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Zip | 73015
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Country | US
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Telephone | 580-654-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 NE LAWRIE TATUM RD
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City | LAWTON
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State | OK
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Zip | 73507
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Country | US
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Telephone | 580-354-5150
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Fax | 580-354-5148
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Authorized Official
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Title or Position | CEO
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Name | BRIAN R WREN
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Credential |
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Telephone | 580-354-5407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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License Number |
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License Number State |
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