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General NPI Number Information
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NPI Number | 1518059674
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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 | 09/28/2006
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 31870 EAST HWY 51
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City | COWETA
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State | OK
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Zip | 74429
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Country | US
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Telephone | 918-279-3200
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Fax | 918-756-2464
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Provider Business Mailing Address
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Address Line | MCN PHARMACY DEPT # 1249
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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 | 918-756-9909
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Fax | 918-756-2464
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Authorized Official
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Title or Position | SECRETARY OF HEALTH
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Name | SHAWN TERRY
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Credential | PHARMD
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Telephone | 918-756-9909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number | 385091
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License Number State | OK
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