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General NPI Number Information
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NPI Number | 1578194221
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Entity Type | Organization
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Legal Business Name | INTEGRITY HOME HEALTH SERVICES
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 11/22/2020
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Provider Practice Location Address
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Address Line | 7555 WINTERWOOD DR
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City | EDMOND
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State | OK
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Zip | 73025-1861
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Country | US
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Telephone | 405-990-5967
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Fax |
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Provider Business Mailing Address
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Address Line | 7555 WINTERWOOD DR
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City | EDMOND
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State | OK
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Zip | 73025-1861
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Country | US
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Telephone | 405-990-5967
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMIE S MASSENGILL
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Credential | MS, MHS, PA-C
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Telephone | 405-990-5967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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