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General NPI Number Information
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NPI Number | 1528183795
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN HOME HEALTH, INC.
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 1908 E. GORE BLVD STE A
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City | LAWTON
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State | OK
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Zip | 73501-6129
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Country | US
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Telephone | 580-248-7060
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Fax | 580-248-6442
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Provider Business Mailing Address
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Address Line | 1908 E GORE BLVD STE A
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City | LAWTON
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State | OK
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Zip | 73501-6128
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Country | US
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Telephone | 580-248-7060
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Fax | 580-248-6442
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Authorized Official
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Title or Position | OWNER-ADMINISTRATOR
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Name | MRS. FRANCES L FITE
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Credential | RN
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Telephone | 580-248-7060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7748
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License Number State | OK
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