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General NPI Number Information
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NPI Number | 1558551804
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Entity Type | Organization
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Legal Business Name | TULSA DAY CENTER FOR THE HOMELESS INC
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 415 W ARCHER ST
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City | TULSA
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State | OK
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Zip | 74103-1807
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Country | US
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Telephone | 918-583-5588
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Fax |
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Provider Business Mailing Address
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Address Line | 415 W ARCHER ST
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City | TULSA
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State | OK
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Zip | 74103-1807
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Country | US
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Telephone | 918-583-5588
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRETOR
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Name | MS. SANDRA LEWIS
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Credential |
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Telephone | 918-583-5588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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