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General NPI Number Information
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NPI Number | 1629044714
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Entity Type | Organization
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Legal Business Name | NORMAN REGIONAL HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 3555 NW 58TH STREET SUITE 130-W
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112
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Country | US
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Telephone | 405-732-2291
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Fax | 405-307-6628
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Provider Business Mailing Address
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Address Line | 718 N PORTER AVENE SUITE 100
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City | NORMAN
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State | OK
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Zip | 73071
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Country | US
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Telephone | 405-307-6620
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Fax | 405-307-6628
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Authorized Official
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Title or Position | CEO
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Name | DAVID WHITAKER
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Credential |
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Telephone | 405-307-1050
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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 |
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