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General NPI Number Information
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NPI Number | 1639205131
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Entity Type | Organization
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Legal Business Name | LOMEGA SCHOOL
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | RT 1 BOX 1 LOMEGA ELEMENTARY SCHOOL
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City | LOYAL
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State | OK
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Zip | 73756
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Country | US
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Telephone | 405-729-4251
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Fax | 405-729-4252
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Provider Business Mailing Address
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Address Line | RT 1 BOX 46
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City | OMEGA
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State | OK
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Zip | 73764
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Country | US
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Telephone | 405-729-4281
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Fax | 405-729-4666
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. STEVE MENDELL
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Credential |
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Telephone | 405-729-4281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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