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General NPI Number Information
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NPI Number | 1669721460
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Entity Type | Organization
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Legal Business Name | BENEFICENT CARE,INC.
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 09/07/2012
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Provider Practice Location Address
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Address Line | 4150 S 100TH EAST AVE STE 200P
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City | TULSA
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State | OK
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Zip | 74146-3650
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Country | US
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Telephone | 918-828-0235
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Fax | 918-828-0236
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Provider Business Mailing Address
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Address Line | 4150 S 100TH EAST AVE STE 200P
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City | TULSA
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State | OK
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Zip | 74146-3650
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Country | US
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Telephone | 918-828-0235
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Fax | 918-828-0236
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ABRAHAM JAJI
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Credential |
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Telephone | 918-828-0235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7993
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License Number State | OK
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