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General NPI Number Information
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NPI Number | 1457788408
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Entity Type | Organization
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Legal Business Name | PATIENCE HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 10/06/2013
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Last Update Date | 10/06/2013
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Provider Practice Location Address
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Address Line | 5400 NW 23RD ST SUITE 204
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-2367
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Country | US
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Telephone | 405-604-0373
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 NW 23RD ST SUITE 204
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-2367
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Country | US
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Telephone | 405-604-0373
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MR. KEHDINGA NUKUNA
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Credential |
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Telephone | 405-604-0373
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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 | HC8027
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License Number State | OK
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