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General NPI Number Information
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NPI Number | 1477609337
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Entity Type | Organization
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Legal Business Name | PAWNEE MUNICIPAL HOPSITAL
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1212 4TH ST
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City | PAWNEE
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State | OK
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Zip | 74058-4046
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Country | US
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Telephone | 918-762-3629
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Fax | 918-762-6376
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Provider Business Mailing Address
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Address Line | 1212 4TH ST
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City | PAWNEE
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State | OK
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Zip | 74058-4046
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Country | US
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Telephone | 918-762-3629
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Fax | 918-762-6376
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Authorized Official
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Title or Position | R.N., HOSPICE DIRECTOR
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Name | MRS. TANYA LEE MULDER
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Credential |
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Telephone | 918-762-3629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 4096
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License Number State | OK
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