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General NPI Number Information
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NPI Number | 1548247489
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Entity Type | Organization
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Legal Business Name | JANE PHILLIPS NOWATA HEALTH CENTER
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 237 S. LOCUST
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City | NOWATA
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State | OK
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Zip | 74048-0426
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Country | US
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Telephone | 918-273-3102
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Fax | 918-273-5490
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Provider Business Mailing Address
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Address Line | 237 S. LOCUST
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City | NOWATA
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State | OK
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Zip | 74048-0426
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Country | US
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Telephone | 918-273-3102
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Fax | 918-273-5490
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JASON RUSSELL MCCAULEY
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Credential |
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Telephone | 918-273-3102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 2187
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 2187
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License Number State | OK
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