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General NPI Number Information
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NPI Number | 1619858966
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Entity Type | Organization
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Legal Business Name | COMANCHE COUNTY HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7102 NW CACHE RD
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City | LAWTON
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State | OK
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Zip | 73505-2710
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Country | US
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Telephone | 580-280-4651
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Fax | 580-280-4652
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Provider Business Mailing Address
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Address Line | 3401 W GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-6332
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Country | US
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Telephone | 580-355-8620
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SEAN MCAVOY
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Credential |
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Telephone | 580-355-8620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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