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General NPI Number Information
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NPI Number | 1689482945
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Entity Type | Organization
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Legal Business Name | COMMUNITY OPIOID PREVENTION EMPOWERMENT
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 2424 W WRANGLER BLVD
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City | SEMINOLE
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State | OK
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Zip | 74868-1915
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Country | US
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Telephone | 580-340-1672
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Fax |
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Provider Business Mailing Address
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Address Line | 2204 SW 137TH PL
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City | OKLAHOMA CITY
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State | OK
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Zip | 73170-5731
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Country | US
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Telephone | 580-340-1672
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Fax |
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Authorized Official
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Title or Position | PREVENTION SPECIALIST
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Name | MR. JAY MULE
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Credential |
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Telephone | 580-340-1672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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