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General NPI Number Information
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NPI Number | 1518172956
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Entity Type | Organization
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Legal Business Name | HCAP VENTURE GROUP
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 700 NW 7TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1212
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Country | US
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Telephone | 405-553-1194
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Fax | 405-239-7180
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Provider Business Mailing Address
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Address Line | 700 NW 7TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1212
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Country | US
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Telephone | 405-553-1194
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Fax | 405-239-7180
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Authorized Official
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Title or Position | CEO
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Name | MRS. STACY B SMITH
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Credential |
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Telephone | 405-553-1194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 2296
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License Number State | OK
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