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General NPI Number Information
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NPI Number | 1497708713
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Entity Type | Organization
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Legal Business Name | WOODWARD HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/21/2011
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Provider Practice Location Address
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Address Line | 1611 MAIN ST SUITE 103
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City | WOODWARD
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State | OK
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Zip | 73801-3021
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Country | US
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Telephone | 580-254-9275
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Fax | 580-254-3182
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Provider Business Mailing Address
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Address Line | 1611 MAIN ST SUITE 103
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City | WOODWARD
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State | OK
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Zip | 73801-3021
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Country | US
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Telephone | 580-254-9275
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Fax | 580-254-3182
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Authorized Official
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Title or Position | DIRECTOR BUSINESS OFFICE SUPPORT
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Name | LAURIE HOLTSFORD
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Credential |
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Telephone | 615-465-7466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 4037
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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