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General NPI Number Information
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NPI Number | 1609666593
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Entity Type | Organization
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Legal Business Name | WEATHERFORD HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 579 N BROADWAY AVE
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City | HYDRO
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State | OK
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Zip | 73048
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Country | US
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Telephone | 580-772-5551
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 E MAIN ST
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City | WEATHERFORD
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State | OK
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Zip | 73096-3309
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Country | US
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Telephone | 580-774-4778
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Fax | 580-774-2314
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Authorized Official
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Title or Position | CFO
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Name | GEORGANNA LEA BUSS
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Credential |
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Telephone | 580-774-4762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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