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General NPI Number Information
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NPI Number | 1568650075
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Entity Type | Organization
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Legal Business Name | OKLAHOMA MEDICAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 2316 SANTA FE TER
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City | EDMOND
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State | OK
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Zip | 73012-4450
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Country | US
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Telephone | 405-609-7566
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Fax | 405-330-4846
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Provider Business Mailing Address
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Address Line | 2316 SANTA FE TER
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City | EDMOND
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State | OK
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Zip | 73012-4450
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Country | US
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Telephone | 405-609-7566
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Fax | 405-330-4846
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Authorized Official
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Title or Position | OWNER / MANAGER
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Name | CARL A PHILLIPS
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Credential | COTA/L
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Telephone | 405-609-7566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | OK
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