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General NPI Number Information
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NPI Number | 1700982634
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Entity Type | Organization
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Legal Business Name | EASTERN OKLAHOMA CENTER FOR WOMEN INC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 6465 S YALE AVE STE 515
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City | TULSA
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State | OK
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Zip | 74136-7823
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Country | US
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Telephone | 918-502-3629
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Fax | 918-502-3627
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Provider Business Mailing Address
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Address Line | PO BOX 700390
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City | TULSA
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State | OK
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Zip | 74170-0390
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Country | US
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Telephone | 918-502-3629
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Fax | 918-502-3627
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Authorized Official
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Title or Position | V P OPERATIONS
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Name | MRS. AUDRA LEE GIVENS
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Credential |
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Telephone | 918-502-3629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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