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NPI 1689152894

NPI 1689152894 : HOMECARE ADVISORS LLC : DURANT, OK

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General NPI Number Information
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    NPI Number           |    1689152894
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOMECARE ADVISORS LLC 
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Dates
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    Enumeration Date     |    07/31/2018
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    Last Update Date     |    10/12/2023
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Provider Practice Location Address
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    Address Line         |    2701 W UNIVERSITY BLVD 
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    City                 |    DURANT
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    State                |    OK
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    Zip                  |    74701-2997
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    Country              |    US
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    Telephone            |    918-360-7014
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    Fax                  |    866-310-4081
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Provider Business Mailing Address
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    Address Line         |    9005 S HUDSON AVE 
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    City                 |    TULSA
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    State                |    OK
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    Zip                  |    74137-3576
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    Country              |    US
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    Telephone            |    580-740-4053
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    Fax                  |    877-725-8976
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Authorized Official
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    Title or Position    |    OWNER /PRESIDENT
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    Name                 |     LOLA JANE EDWARDS 
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    Credential           |    RN
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    Telephone            |    580-740-4053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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