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General NPI Number Information
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NPI Number | 1497561898
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Entity Type | Organization
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Legal Business Name | MCARTHUR FAMILY CLINIC LLC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 103 CLYDE AVE
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City | ELK CITY
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State | OK
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Zip | 73644-1934
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Country | US
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Telephone | 580-303-5025
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Fax | 580-303-5030
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Provider Business Mailing Address
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Address Line | 103 CLYDE AVE
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City | ELK CITY
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State | OK
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Zip | 73644-1934
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Country | US
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Telephone | 580-303-5025
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Fax | 580-303-5030
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Authorized Official
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Title or Position | OWNER
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Name | KASEE MCARTHUR
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Credential | APRN C-NP
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Telephone | 580-303-5025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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