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General NPI Number Information
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NPI Number | 1679070577
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Entity Type | Organization
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Legal Business Name | INTEGRIS BASS BAPTIST HEALTH CENTER
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 707 S MONROE ST
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City | ENID
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State | OK
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Zip | 73701-7286
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Country | US
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Telephone | 580-977-1960
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Fax | 580-977-1959
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Provider Business Mailing Address
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Address Line | 3001 QUAIL SPRINGS PKWY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-2640
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MIKE WEED
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Credential |
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Telephone | 405-949-3402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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