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General NPI Number Information
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NPI Number | 1689492548
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Entity Type | Organization
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Legal Business Name | CARDIAC AND PULMONARY REHABILITATION CLINIC LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 3003 MEDICAL CENTER DRIVE
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City | KINGFISHER
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State | OK
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Zip | 73750
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Country | US
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Telephone | 580-922-1107
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29
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City | KINGFISHER
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State | OK
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Zip | 73750-0029
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Country | US
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Telephone | 580-922-1107
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Fax |
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Authorized Official
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Title or Position | MANAGER - CO-OWNER
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Name | MS. MELISSA C. JONES
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Credential | MSN
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Telephone | 580-922-1107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2278P1005X
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Taxonomy Name | Pulmonary Rehabilitation Certified Respiratory Therapist
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License Number |
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License Number State |
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