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General NPI Number Information
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NPI Number | 1629130166
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Entity Type | Organization
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Legal Business Name | NORMAN ALCOHOL INFORMATION CENTER INC.
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 2457 WILCOX DR
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City | NORMAN
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State | OK
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Zip | 73069-3956
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Country | US
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Telephone | 405-321-0022
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Fax | 405-321-0022
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Provider Business Mailing Address
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Address Line | PO BOX 730
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City | NORMAN
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State | OK
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Zip | 73070-0730
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Country | US
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Telephone | 405-321-0022
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Fax | 405-360-4918
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHAYLA ADKINS
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Credential |
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Telephone | 405-321-0022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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