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General NPI Number Information
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NPI Number | 1558451591
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Entity Type | Organization
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Legal Business Name | OKLAHOMA CITY SURGERY CENTER LP
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5401 N PORTLAND AVE SUITE 110
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-2082
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Country | US
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Telephone | 405-604-4118
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Fax | 405-604-4902
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Provider Business Mailing Address
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Address Line | PO BOX 840376
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City | DALLAS
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State | TX
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Zip | 75284-0376
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Country | US
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Telephone | 405-604-4188
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Fax | 405-604-4902
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | REBECCA HURLEY
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Credential |
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Telephone | 214-473-3993
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0050
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License Number State | OK
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