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General NPI Number Information
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NPI Number | 1659734770
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Entity Type | Organization
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Legal Business Name | VISITING PHYSICIANS SERVICES, LC
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 3720 E 2ND ST
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City | EDMOND
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State | OK
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Zip | 73034-7303
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Country | US
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Telephone | 405-705-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 3720 E 2ND ST
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City | EDMOND
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State | OK
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Zip | 73034-7303
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Country | US
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Telephone | 405-705-2400
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | REGINA HERRING
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Credential | RPT
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Telephone | 405-705-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | OK
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