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General NPI Number Information
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NPI Number | 1649802117
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Entity Type | Organization
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Legal Business Name | EVEREST REHABILITATION HOSPITAL OKC, LLC
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 7900 MID AMERICA BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73135-6609
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Country | US
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Telephone | 405-251-9622
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Fax |
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Provider Business Mailing Address
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Address Line | 7900 MID AMERICA BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73135-6609
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Country | US
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Telephone | 405-251-9622
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Fax |
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Authorized Official
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Title or Position | HOSPITAL CEO
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Name | TESS CLEMENS
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Credential |
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Telephone | 405-731-8801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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