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General NPI Number Information
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NPI Number | 1508103508
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Entity Type | Organization
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Legal Business Name | ER NURSING, LLC
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Dates
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Enumeration Date | 01/10/2013
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 1530 NE GRAND BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73117-5212
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Country | US
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Telephone | 405-424-2273
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Fax | 405-424-2070
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Provider Business Mailing Address
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Address Line | 1530 NE GRAND BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73117-5212
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Country | US
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Telephone | 405-424-2273
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Fax | 405-424-2070
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | BOYD GENTRY
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Credential |
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Telephone | 678-869-5116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | NH5549-5549
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License Number State | OK
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