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NPI 1568561215

NPI 1568561215 : CHEYENNE-ARAPAHO TRIBES OF OKLAHOMA : CLINTON, OK

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General NPI Number Information
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    NPI Number           |    1568561215
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHEYENNE-ARAPAHO TRIBES OF OKLAHOMA 
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Dates
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    Enumeration Date     |    09/21/2006
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    22671 RTE 66 N 
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    City                 |    CLINTON
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    State                |    OK
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    Zip                  |    73601
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    Country              |    US
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    Telephone            |    580-323-7087
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    Fax                  |    580-628-2273
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Provider Business Mailing Address
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    Address Line         |    PO BOX 158 
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    City                 |    CLINTON
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    State                |    OK
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    Zip                  |    73601-0158
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    Country              |    US
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    Telephone            |    580-323-7087
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    Fax                  |    580-628-2273
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Authorized Official
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    Title or Position    |    AMBULANCE DIRECTOR
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    Name                 |     TWILA ANN  ASHCRAFT 
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    Credential           |    
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    Telephone            |    580-323-7087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    EMS213
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    License Number State |    OK
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