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General NPI Number Information
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NPI Number | 1487076519
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Entity Type | Organization
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Legal Business Name | CREEK NATION HOSPITAL & CLINICS
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 31870 E STATE HIGHWAY 51
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City | COWETA
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State | OK
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Zip | 74429-7900
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Country | US
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Telephone | 918-279-3200
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Fax |
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Provider Business Mailing Address
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Address Line | MUSCOGEE CREEK NATION DIALYSIS KOWETA DEPT 2130
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City | TULSA
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State | OK
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Zip | 74182-0001
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Country | US
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Telephone | 918-756-4333
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Fax |
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Authorized Official
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Title or Position | SECRETARY OF HEALTH
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Name | SENECA M SMITH
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Credential |
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Telephone | 918-756-4333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State | OK
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