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General NPI Number Information
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NPI Number | 1588243117
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Entity Type | Organization
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Legal Business Name | INTEGRIS HEALTH EDMOND, INC
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 4801 INTEGRIS PKWY
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City | EDMOND
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State | OK
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Zip | 73034-8864
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Country | US
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Telephone | 405-657-3030
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Fax | 405-471-0003
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Provider Business Mailing Address
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Address Line | PO BOX 960423
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City | OKLAHOMA CITY
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State | OK
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Zip | 73196-0423
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Country | US
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Telephone | 405-657-3030
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Fax | 405-471-0003
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Authorized Official
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Title or Position | COO
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Name | CHRIS HAMMES
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Credential |
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Telephone | 405-949-3402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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